Case Manager- West Bend
Case Manager- West Bend
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$ 53700 - 72600
1 Vacancy
Job Description
Become a part of our caring community and help us put health first
Humana is seeking a 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 Wisconsins FC program. The role will travel to see members throughout Janesville and surrounding counties.In this role you will:
- 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 facetoface socialrelated assessments for members upon enrollment and at least every 6 months thereafter in the members setting.
- Coordinate perform and track quarterly facetoface visits and monthly phone contacts.
- Participate in the development and ongoing review and coordination of the members plan of care.
- Take the lead in areas related to social community integration employment housing and nonhealth 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 reimbursemen
Use your skills to make an impact
Required Qualifications
- Fouryear bachelors 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 fouryear bachelors 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 noncompany locations such as providing services at business partner facilities or prospects and members homes.
- Work Location: West Bend WI
- Travel: up to 40% throughout West Bend WI
- 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 selfprovided 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 required; 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 biweekly 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 Humanas driver safety program and therefore requires an individual to have a valid state drivers license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
TB
This role is considered patient facing and is part of Humanas Tuberculosis (TB) screening program. If selected for this role you will be required to be screened for TB.
Benefits
Humana offers a variety of benefits to promote the best health and wellbeing of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial securityboth today and in the future including:
- Health benefits effective day 1
- Paid time off holidays volunteer time and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
HireVue
As part of our hiring process for this opportunity we will be using an interviewing technology called HireVue to enhance our hiring and decisionmaking ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
SSN Alert
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number if it is not already on file. When required an email will be sent from with instructions on how to add the information into your official application on Humanas secure website.
Travel: While this is a remote position occasional travel to Humanas offices for training or meetings may be required.Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills knowledge experience education certifications etc.Description of Benefits
Humana Inc. and its affiliated subsidiaries (collectively Humana) offers competitive benefits that support wholeperson wellbeing. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits Humana provides 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) shortterm and longterm disability life insurance and many other opportunities.
About us
About Inclusa: Inclusa manages the provision of a personcentered and communityfocused approach to longterm care services and support to Family Care members across the state of Wisconsin. As a valuesbased organization devoted to building vibrant and inclusive communities Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity which focuses on the belief in everyone and from that belief the common good for all is achieved. In 2022 Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industryleading support for members across the health care continuum.About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first for our teammates our customers and our company. Through our Humana insurance services and our CenterWell healthcare services we make it easier for the millions of people we serve to achieve their best health delivering the care and service they need when they need it. These efforts are leading to a better quality of life for people with Medicare Medicaid families individuals military service personnel and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race color religion sex sexual orientation gender identity national origin age marital status genetic information disability or protected veteran status. It is also the policy of Humana to take affirmative action in compliance with Section 503 of the Rehabilitation Act and VEVRAA to employ and to advance in employment individuals with disability or protected veteran status and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions including but not limited to recruitment hiring upgrading promotion transfer demotion layoff recall termination rates of pay or other forms of compensation and selection for training including apprenticeship at all levels of employment.
Required Experience:
Manager
Employment Type
Full-Time
