Case Manager

Humana

. Provide comprehensive case management services to frail elders and adults with intellectual, developmental, or physical disabilities in the Wisconsin Family Care program .

Posted 9/15/2026full-timeAshland • Wisconsin • United StatesJunior💰 $53,700 - $72,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management for frail elders and adults with disabilities, including the development of comprehensive Member Care Plans and coordination of community resources. Proficient in maintaining accurate documentation and ensuring compliance with health and safety standards.

Highest-signal resume keywords

Case Management ExperienceMember Care Plan DevelopmentKnowledge of Community Health ResourcesElectronic Case Note DocumentationValid State Driver's License

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementHealth and Safety AssessmentRisk Factor EvaluationService Authorization MaintenanceSocial AssessmentCommunity Resource CoordinationCost-Effective Service DeliveryMember EducationDocumentation AccuracyTravel Coordination

Soft Skills

Interpersonal CommunicationOrganizational SkillsProblem-SolvingEmpathyCollaboration

Tools & Technologies

Electronic Case Note SystemsTelecommunication ToolsInternet Connectivity

Certifications & Qualifications

Bachelor's Degree in Human Services or Related FieldPersonal Vehicle Liability Insurance

Industry Keywords

Frail EldersIntellectual DisabilitiesDevelopmental DisabilitiesPhysical DisabilitiesCommunity HealthSocial ServicesHIPAA ComplianceTB Screening Program

About the role

Key responsibilities & impact

Provide comprehensive case management services to frail elders and adults with intellectual, developmental, or physical disabilities in the Wisconsin Family Care program
Assess members' health and safety needs, strengths, interests, and preferences to develop comprehensive Member Care Plans
Coordinate with a Field Care Nurse to address members' health and safety needs in the least restrictive environment
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 telephone contact with members
Arrange support services involving social integration, community resources, employment, housing, and other non-medical needs
Ensure cost-effective service delivery
Evaluate risk factors and provide education to members
Maintain accurate case notes, service authorizations, and Member Care Plan updates
Travel up to 40% within the Ashland/Superior coverage area
Report to the Manager of Care Coaching

Requirements

What you’ll need

Bachelor's degree in human services or a related field and 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 and 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 minutes or less of the assigned coverage area (preferred)
Case Management experience (preferred)
Experience with electronic case note documentation (preferred)
Knowledge of community health and social service agencies and additional community resources (preferred)
Ability to meet work-at-home internet requirements: minimum 25 Mbps download and 10 Mbps upload
Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
Ability to work Monday–Friday, 8:00 am–4:30 pm CST
Willingness to participate in Humana's TB screening program

Benefits

Comp & perks

Medical benefits
Dental benefits
Vision benefits
401(k) retirement savings plan
Paid time off
Company holidays
Personal holidays
Paid parental leave
Paid caregiver leave
Short-term disability
Long-term disability
Life insurance
Mileage reimbursement for work-related travel
TB screening provided as part of the employment program
Remote work arrangement
Occasional travel to Humana offices for training or meetings