Case Manager- Dodge/Washington Counties
Work at Home - Wisconsin
Become a part of the Humana/Inclusa team and change the lives of those we serve! We are seeking a Case Manager, aka: Community Resource Coordinator (CRC), to join the Humana/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.
- Columbia County, WI area.
***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: Columbia County, Wisconsin and surrounding areas.
- Travel: up to 40% throughout Columbia County, WI and surrounding areas.
- Typical Work Days/Hours: Monday – Friday, 8:00 am – 4:30 pm CST
Limited Geography Remote - This is a remote position but located within …
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Dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Field position Illinois Limited Geography Remote Montana South Dakota Valid state driver's license and proof of personal vehicle liability insurance Work from a dedicated space Work from a dedicated space lacking ongoing interruptions Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Work from Home in the state of California, Illinois, Montana, or South Dakota Workstyle
Benefits/PerksCareer development Career development opportunities Caring community Competitive benefits Dental Employee charity matching Employee charity matching program Health benefits Health benefits effective day 1 Internet expense payment Life Insurance Medical Mileage reimbursement Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Personal holidays Recognition pay Remote position Scholarships Scholarships for eligible dependents Telephone equipment provided Time off Tuition Assistance Vision Vision Benefits Volunteer time Volunteer time off Work From Home
Tasks- Conduct assessments
- Coordinate care plans
- Document activities
- Provide care management
- Training
Assessment Assessments BI Business Care management Care Plan Development Case Management Community integration Documentation Family Care Health and Wellness Coordination Healthcare HIPAA Human services Integration Leadership Managed Care Medicaid Medicare Network Recruitment Risk mitigation Security Social services Social Work Technology Training Wellness
Experience1-3 years
EducationBachelor's Degree in any field Bachelor’s degree in human services Bachelor’s Degree in Related Field Business Education Healthcare Human Services Management Related Field RN Social Work
CertificationsCertification in Social Work Driver's License RN State driver's license
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