Case Manager

🔥 20 hours ago

🧀 Wisconsin – Remote

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💵 $53.7k - $72.6k / year

⏰ Full Time

🟢 Junior

👔 Manager

🦅 H1B Visa Sponsor

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Logo of Humana

Humana

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

• Assess members' health and safety needs to identify strengths, interests, and preferences • Develop comprehensive Member Care Plans (MCPs) • Coordinate with a Field Care Nurse to address members' health and safety needs • Conduct face-to-face social assessments upon enrollment and at least every six months, typically at members' residences • Conduct quarterly in-person visits and maintain monthly phone contact • Arrange support services related to social integration, community resources, employment, housing, and other non-medical needs • Ensure cost-effective service delivery • Evaluate risk factors and provide education to members • Maintain accurate case notes, service authorizations, and MCP updates • Provide case management services to frail elders and adults with intellectual, developmental, or physical disabilities in the Wisconsin Family Care program • Travel occasionally to Humana offices for training or meetings

🎯 Requirements

• Bachelor's degree in human services or a related field and at least 1 year of experience serving frail elders or adults with intellectual, developmental, or physical disabilities • Alternatively, a Bachelor's degree in another field with at least 3 years of such experience • Valid state driver's license • Proof of personal vehicle liability insurance with at least 100/300/100 limits • Reside within 45 mins or less of the assigned coverage area (preferred) • Case Management experience (preferred) • Experience with electronic case note documentation (preferred) • Knowledge of community health and social service agencies and additional community resources (preferred) • Required availability Monday–Friday, 8:00 am–4:30 pm CST • Ability to travel up to 40% • Ability to pass TB screening

🏖️ Benefits

• Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Mileage reimbursement for work-related travel • Dedicated home workspace and internet requirements for remote work • TB screening program

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