Case Manager
Humana
full-time
Posted on:
Location Type: Hybrid
Location: Beaver Dam • Wisconsin • United States
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Salary
💰 $53,700 - $72,600 per year
Job Level
About the role
- 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.
Requirements
- 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.
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- paid 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Member Care Plan (MCP)social assessmentsrisk evaluationdocumentationcase notesservice authorizations
Soft Skills
empathetic communicationcollaborationdecision-makingorganizationtime management