Case Manager- Siren, WI jobs in United States
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Humana · 20 hours ago

Case Manager- Siren, WI

Humana is a healthcare company committed to putting health first, and they are 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 enhancing their quality of life.

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

Human Services degreeFamily CareElectronic case note documentationHealth promotion experienceCommunity resourcesCollaboration with providersEmpathetic communication

Required

Four-year bachelor's degree in the 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

Preferred

Previous experience with electronic case note documentation and experienced with documenting in multiple computer applications/systems
Experience with health promotion, coaching and wellness
Knowledge of community health and social service agencies and additional community resources
Prior experience with Medicare & Medicaid recipients

Benefits

Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance

Company

Humana is a health insurance provider for individuals, families, and businesses.

Funding

Current Stage
Public Company
Total Funding
$13.07B
2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B

Leadership Team

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Jim Rechtin
CEO and President
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Caleb Gallifant
Chief Operating Officer, CenterWell Home Health
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Company data provided by crunchbase