Case Manager

Humana

Case Manager coordinating care for Humana members, focusing on Medicaid services and member assessments. Conducting home visits, developing care plans, and engaging with interdisciplinary healthcare teams.

Posted 4/29/2026full-timeMadison • Wisconsin • 🇺🇸 United StatesJuniorMid-Level💰 $53,700 - $72,600 per yearWebsite

About the role

Key responsibilities & impact

Conduct comprehensive Medicaid-required psychosocial and functional assessments as part of the care management process to identify member needs, risks, strengths, and barriers affecting health and independence.
Develop, implement, coordinate, and monitor individualized, person‑centered care plans following Medicaid program requirements, ensuring services and supports align with member‑identified goals and outcomes.
Perform ongoing reassessments and care plan updates at required intervals and as member needs change, monitoring health status, safety, service effectiveness, and progress toward desired outcomes.
Conduct required face‑to‑face visits with members in their homes or community settings to assess needs, evaluate service delivery, provide education, and support member engagement in care.
Coordinate and monitor Medicaid-covered services, and community-based resources to ensure access, continuity of care, and avoidance of service gaps.
Document assessments, face‑to‑face visits, care plans, member interactions, and service coordination activities following Medicaid, contractual, and organizational documentation standards.
Educate members on preventive health measures, wellness strategies, and care adherence to support improved health outcomes and compliance with Pay for Performance (P4P) quality measures.
Build collaborative relationships with members, families, caregivers, providers, and community agencies to promote engagement, trust, and care coordination.
Collaborate with physicians, interdisciplinary care teams, and other healthcare professionals to coordinate and integrate medical, behavioral, and social services.
Educate members and providers regarding Medicaid benefits, covered services, provider roles, and appropriate use of healthcare services; refer members to community resources and social services.

Requirements

What you’ll need

Bachelor's degree in health and human services field
License in health and human services field (CSW, LPC, LPC-IT, OT-A, etc)
2 or more years in case management of related experience
Must have a private room with a locked door that can be used as a home office to ensure privacy while you work

Benefits

Comp & perks

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

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

psychosocial assessmentsfunctional assessmentscare managementcare plansservice coordinationhealth status monitoringpreventive health measureswellness strategiesdocumentation standardscase management

Soft Skills

collaborationcommunicationrelationship buildingtrust promotionengagementeducationsupportcoordinationproblem-solvinginterpersonal skills

Certifications

Bachelor's degree in health and human servicesCSWLPCLPC-ITOT-A