FCP Case Manager

🕒 October 21

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $53.7k - $72.6k / year

⏰ Full Time

🟢 Junior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Conduct psychosocial and comprehensive assessments • Use Resource Allocation Decision-making methodology to identify member outcomes and strategies • Identify community resources and cost-effective services or equipment • Coordinate and monitor services and resources • Conduct reassessments and update care plans • Monitor members' health, safety, and progress • Assist with complaints, grievances, and advocacy services • Document member information, contacts, care, and services according to policy and audit requirements • Build working relationships with members, families, and outside agency staff • Coordinate care with physicians and medical professionals • Assist with resolving issues between members and providers • Educate members and providers about benefits, service providers, protocols, and medical services • Provide community resource and social service referrals • Monitor members' engagement in treatment and develop alternatives or solutions with staff and providers

🎯 Requirements

• Wisconsin-certified Social Worker with a minimum of one (1) year working with at least one Family Care target group population; OR • 4-year bachelor's degree or more advanced degree in Human Services and a minimum of one (1) year of experience working with at least one Family Care target population; OR • 4-year bachelor's degree or more advanced degree in another field and a minimum of three (3) years of experience working with at least one Family Care population • Family Care target populations: Frail Elders, Physically Disabled, or Intellectually/Developmentally Disabled • Knowledge of community resources and long-term care options • Ability to travel throughout Milwaukee, Walworth, Racine/Kenosha, Waukesha, Washington, Ozaukee, and Sheboygan Counties to conduct in-home assessments • Valid state driver's license • Proof of personal vehicle liability insurance with at least 100/300/100 limits • Required TB screening for selected candidates • Preferred: Wisconsin Social Work certification/licensure or eligibility for certification and licensure • Preferred: Previous managed care experience • Preferred: General knowledge of Medicaid and Medicare benefits • Home internet with at least 25 Mbps download and 10 Mbps upload • Ability to work from a dedicated space protecting member PHI/HIPAA information

🏖️ Benefits

• Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Mileage reimbursement for work-related travel • Remote work • Occasional travel to Humana offices for training or meetings

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