Humana · 21 hours ago
Case Manager
Sparta, WI
Full-time
Hybrid
Entry, Mid Level
$54K/yr - $73K/yr
1+ years expHumana is committed to putting health first and is seeking a Case Manager to join their Inclusa team. The role involves providing comprehensive case management services to frail elders and adults with disabilities, coordinating care, and developing individualized care plans.
HealthcareProperty & Casualty InsuranceHealth InsuranceVenture CapitalHealth CareInsurance
Responsibilities
Assess members health and safety needs to identify their strengths, interests, and preferences to develop a comprehensive Member Care Plan (MCP)
Coordinate with a Field Care Nurse to provide services that address members' health and safety needs, ensuring the team provides support in the least restrictive environment following the MCP
Conduct face-to-face social assessments with members upon enrollment and at minimum, every six months, typically at the member's residence
Conduct quarterly in-person visits and maintain monthly contact with members by phone
Arrange support services for members, including those 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 documentation including case notes, service authorizations, and updates to the MCP
Qualification
Required
A Bachelor's degree in human services or a related field is required, with 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 is also acceptable
Valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits
Preferred
Case Management experience
Experience with electronic case note documentation
Knowledge of community health and social service agencies and additional community resources
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
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Emilie Fritsch
Senior User Interface Design Engineer
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