Become a part of our caring community and help us put health first
 

The Case Manager evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Case Manager work assignments are often straightforward and of moderate complexity.

               

The Case Manager employs a variety of strategies, approaches and techniques to support a member's optimal wellness state by coordinating services & resources. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.

Use your skills to make an impact
 

Humana is seeking a Social Worker/Case Manager, aka: Community Resource Coordinator (CRC), to join the Inclusa team to serve members in the Wisconsin Family Care (FC) program. In this role, you will be responsible for partnering with your fellow colleagues to provide top quality care to our members. They are looking to you in providing assistance when it comes to living their daily lives. The CRC provides comprehensive social service care management for frail elders and adults with intellectual, developmental or physical disabilities who qualify for Wisconsin’s FC program.

               

• Learn what is important to the member and support them in achieving it.
• Partner with a Health and Wellness Coordinator (RN) and collaborate on an ongoing basis regarding the member and their plan.
• Perform face-to-face social-related assessments for members upon enrollment and at least every 6 months thereafter in the member's setting.
• Coordinate, perform, and track quarterly face-to-face visits and monthly phone contacts.
• Participate in the development and ongoing review and coordination of the member's plan of care.
• Take the lead in areas related to social, community integration, employment, housing, and non-health related issues.
• Educate on and promote prevention/wellness and mitigate risk when assessed.
• Document activity and complete paperwork as required.
• Traveling will be required and eligible for mileage reimbursement.

Use your skills to make an impact
 

Required Qualifications

• 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.

***The Family Care target group population is defined as: frail elders and adults with intellectual, developmental, or physical disabilities***

Preferred Qualifications

• Certification in social work

Additional Information

• Workstyle: This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.
• Work Location: Manitowoc, Wisconsin and surrounding area.
• Travel: up to 40% throughout Manitowoc County, WI and surrounding counties.
• Typical Work Days/Hours: Monday – Friday, 8:00 am – 4:30 pm CST

Limited Geography Remote - This is a remote position but located within a specific geography.

WAH Internet Statement

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Driving

This role is part of Humana's driver safety program and the