Humana

FCP Case Manager

Humana
Posted 10/21/2026full-timeRemote • Wisconsin • United StatesJunior💰 $53,700 - $72,600 per yearWebsite
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Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in conducting psychosocial assessments and coordinating care for Family Care target populations, including Frail Elders, Physically Disabled, and Intellectually/Developmentally Disabled individuals. Proficient in utilizing community resources and long-term care options while ensuring compliance with policy and audit requirements.

Highest-signal resume keywords
Wisconsin-Certified Social WorkerCommunity Resource KnowledgeCare CoordinationManaged Care ExperienceMedicaid and Medicare Knowledge

About the role

Key responsibilities & impact
  • Conduct psychosocial and comprehensive assessments
  • Use Resource Allocation Decision-making methodology to identify member outcomes and strategies
  • Identify community resources and cost-effective services or equipment
  • Coordinate and monitor services and resources
  • Conduct reassessments and update care plans
  • Monitor members' health, safety, and progress
  • Assist with complaints, grievances, and advocacy services
  • Document member information, contacts, care, and services according to policy and audit requirements
  • Build working relationships with members, families, and outside agency staff
  • Coordinate care with physicians and medical professionals
  • Assist with resolving issues between members and providers
  • Educate members and providers about benefits, service providers, protocols, and medical services
  • Provide community resource and social service referrals
  • Monitor members' engagement in treatment and develop alternatives or solutions with staff and providers

Requirements

What you’ll need
  • Wisconsin-certified Social Worker with a minimum of one (1) year working with at least one Family Care target group population; OR
  • 4-year bachelor's degree or more advanced degree in Human Services and a minimum of one (1) year of experience working with at least one Family Care target population; OR
  • 4-year bachelor's degree or more advanced degree in another field and a minimum of three (3) years of experience working with at least one Family Care population
  • Family Care target populations: Frail Elders, Physically Disabled, or Intellectually/Developmentally Disabled
  • Knowledge of community resources and long-term care options
  • Ability to travel throughout Milwaukee, Walworth, Racine/Kenosha, Waukesha, Washington, Ozaukee, and Sheboygan Counties to conduct in-home assessments
  • Valid state driver's license
  • Proof of personal vehicle liability insurance with at least 100/300/100 limits
  • Required TB screening for selected candidates
  • Preferred: Wisconsin Social Work certification/licensure or eligibility for certification and licensure
  • Preferred: Previous managed care experience
  • Preferred: General knowledge of Medicaid and Medicare benefits
  • Home internet with at least 25 Mbps download and 10 Mbps upload
  • Ability to work from a dedicated space protecting member PHI/HIPAA information

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
  • Remote work
  • Occasional travel to Humana offices for training or meetings

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
Psychosocial AssessmentsResource Allocation Decision-MakingCare Plan DevelopmentHealth MonitoringDocumentation Compliance
Soft Skills
Relationship BuildingAdvocacyProblem SolvingCommunication
Tools & Technologies
Personal VehicleHome Internet
Certifications & Qualifications
Wisconsin Social Work Certification/LicensureTB Screening
Industry Keywords
Family Care Target PopulationsLong-Term Care OptionsIn-Home AssessmentsPHI/HIPAA Compliance