Case Manager- Dane County at Humana

Madison, Wisconsin, United States

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

Healthcare, Social ServicesIndustries

Requirements

Four-year bachelor’s degree in Human Services or related field with one (1) year of experience working with at least one Family Care target population (frail elders and adults with intellectual, developmental, or physical disabilities) OR a four-year bachelor’s degree in any other field with three (3) years’ related experience working with at least one Family Care target population
Valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits (part of Humana’s driver safety program)
Ability to travel up to 40% throughout Dane County and surrounding counties (eligible for mileage reimbursement)
For home/hybrid work: self-provided internet with minimum download speed of 25 Mbps and upload speed of 10 Mbps (wireless, wired cable, or DSL suggested; satellite/cellular/microwave only if approved); work from dedicated space to protect PHI/HIPAA
Considered patient-facing and part of Humana’s Tuberculosis program (TB requirements implied)

Responsibilities

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

Skills

Case Management

Social Services

Care Coordination

Assessments

Care Planning

Community Integration

Documentation

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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