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Humana · 1 month ago

Case Manager- Eau Claire, WI

United States

Full-time

Remote

Entry, Mid Level

$54K/yr - $73K/yr

1+ years exp

Humana is committed to putting health first and is seeking a Case Manager to join their Inclusa team. In this role, you will provide comprehensive social service care management to members in the Wisconsin Family Care program, focusing on empowering individuals with disabilities and ensuring they have access to vital resources.

Health CareHealth InsuranceInsuranceVenture Capital

Responsibilities

Assess members to identify their strengths, interests, and preferences, focusing on health and safety needs to develop a comprehensive Member Care Plan (MCP)

Coordinate services that address members’ health and safety needs, ensuring support is provided in the least restrictive environment in accordance with the MCP

Collaborate continuously with a Field Care Nurse (RN) to review and update care plans and address members’ evolving needs

Conduct face-to-face social assessments with members upon enrollment and at minimum, every six months, typically at the member’s residence

Schedule, conduct, and document quarterly in-person visits and maintain monthly contact with members by phone

Identify, arrange, and monitor support services for members, including those related to social integration, community resources, employment, housing, and other non-medical needs

Engage in clear and empathetic communication with members to better understand their needs, support informed decision-making, and ensure cost-effective service delivery

Prioritize safety by continuously evaluating risk factors and providing education to members to promote overall health and wellness

Maintain accurate and timely documentation of activities, including case notes, service authorizations, and updates to the Member Care Plan

Foster direct collaboration with service providers, natural supports, and other community partners to enhance member outcomes

Travel is necessary to conduct member visits and fulfill role responsibilities

Qualification

Case Management experienceFamily Care populationsComputer proficiencyCommunity resourcesEmpathetic communication

Required

Four-year bachelor's degree in human services or related field with one (1) year of experience working with at least one of the Family Care target populations OR a four-year bachelor's degree in any other field with three (3) years' related experience working with at least one of the Family Care target populations

Demonstrated intermediate computer proficiency, including experience with Microsoft Office applications