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Humana

Case Manager

Humana

. Assess members' health and safety needs to identify strengths, interests, and preferences and develop comprehensive Member Care Plans .

Posted 10/14/2026full-timeRemote • Wisconsin • United StatesJunior💰 $53,700 - $72,600 per yearWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in developing comprehensive Member Care Plans and coordinating services to meet health and safety needs. Proficient in case management, documentation, and knowledge of community resources to support members effectively.

Highest-signal resume keywords
Case Management ExperienceElectronic Case Note DocumentationKnowledge of Community Health AgenciesBachelor's Degree in Human ServicesValid State Driver's License

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills
Member Care Plan DevelopmentSocial Assessment ConductingRisk Factor EvaluationCost-Effective Service DeliveryDocumentation Maintenance
Soft Skills
Interpersonal CommunicationOrganizational SkillsProblem-Solving
Certifications & Qualifications
TB Screening
Industry Keywords
Health and Safety NeedsCommunity ResourcesSocial IntegrationFrail EldersIntellectual DisabilitiesDevelopmental DisabilitiesPhysical DisabilitiesHIPAA Compliance

About the role

Key responsibilities & impact
  • Assess members' health and safety needs to identify strengths, interests, and preferences and develop comprehensive Member Care Plans
  • Coordinate with a Field Care Nurse to provide services addressing members' health and safety needs
  • Ensure support is provided in the least restrictive environment according to the Member Care Plan
  • Conduct face-to-face social assessments upon enrollment and at least every six months, typically at members' residences
  • Conduct quarterly in-person visits and maintain monthly phone contact with members
  • Arrange support services related to social integration, community resources, employment, housing, and other non-medical needs
  • Ensure cost-effective service delivery
  • Evaluate risk factors and educate members
  • Maintain accurate documentation, including case notes, service authorizations, and Member Care Plan updates
  • Serve members throughout La Crosse County and surrounding areas

Requirements

What you’ll need
  • Bachelor's degree in human services or a related field, 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
  • Valid state driver's license
  • Proof of personal vehicle liability insurance with at least 100/300/100 limits
  • Reside within 45 mins or less of the assigned coverage area
  • Case Management experience
  • Experience with electronic case note documentation
  • Knowledge of community health and social service agencies and additional community resources
  • Ability to meet work-from-home internet requirements: at least 25 Mbps download and 10 Mbps upload
  • Dedicated workspace without ongoing interruptions to protect member PHI / HIPAA information
  • Must undergo TB screening if selected
  • Ability to work Monday–Friday, 8:00 am–4:30 pm CST
  • Up to 40% travel

Benefits

Comp & perks
  • $3,000 hiring bonus, with $1,500 paid after 90 days and another $1,500 after 9 months
  • Medical, dental and vision benefits
  • 401(k) retirement savings plan
  • Paid time off
  • Company and personal holidays
  • Paid parental and caregiver leave
  • Short-term and long-term disability
  • Life insurance
  • Mileage reimbursement for work-related travel
  • Remote work arrangement
  • Occasional travel to Humana offices for training or meetings