Case Manager- Part-Time at Humana

Wisconsin Rapids, Wisconsin, United States

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Not SpecifiedCompensation

Junior (1 to 2 years), Mid-level (3 to 4 years)Experience Level

Part TimeJob Type

UnknownVisa

Healthcare, Social ServicesIndustries

Requirements

Expertise in providing comprehensive social service care management to frail elders and adults with intellectual, developmental, or physical disabilities in Wisconsin’s Family Care (FC) program
Compassion and ability to collaborate with colleagues, including Field Care Nurses (RNs), service providers, natural supports, and community partners
Capability to conduct face-to-face social assessments, quarterly in-person visits (typically at member's residence), and monthly phone contacts
Willingness to travel up to 40% throughout WI Rapids, WI (mileage reimbursed), and occasional travel to Humana offices for training/meetings
Availability for part-time, field-based work Monday–Friday, 8:00 am–4:30 pm CST
Skills in clear, empathetic communication to understand member needs, support decision-making, and ensure cost-effective services
Ability to maintain accurate, timely documentation including case notes, service authorizations, and Member Care Plan (MCP) updates
Capacity to assess strengths, interests, preferences, health/safety needs, risk factors, and promote independence in least restrictive environments

Responsibilities

Assess members to identify strengths, interests, preferences, health, and safety needs to develop a comprehensive Member Care Plan (MCP)
Coordinate services addressing health/safety needs in the least restrictive environment per the MCP
Collaborate with Field Care Nurse (RN) to review/update care plans and address evolving needs
Conduct face-to-face social assessments upon enrollment and at least every six months, typically at member's residence
Schedule, conduct, and document quarterly in-person visits; maintain monthly phone contact with members
Identify, arrange, and monitor support services for social integration, community resources, employment, housing, and non-medical needs
Engage in empathetic communication with members to understand needs, support informed decisions, and ensure cost-effective delivery
Evaluate risk factors continuously, provide education to promote health, wellness, and safety
Maintain accurate, timely documentation of activities, case notes, service authorizations, and MCP updates
Foster collaboration with service providers, natural supports, and community partners to enhance outcomes

Skills

Key technologies and capabilities for this role

Case ManagementCare PlanningSocial AssessmentService CoordinationRisk AssessmentCommunity ResourcesDocumentationEmpathetic Communication

Questions & Answers

Common questions about this position

Is this a full-time or part-time position?

This is a part-time position.

What is the work location and travel requirement for this role?

The work location is WI Rapids, WI, with up to 40% travel throughout WI Rapids, WI, and mileage reimbursement provided. It is a field position performed at non-company locations like members' homes, and while described as remote, occasional travel to Humana's offices for training or meetings may be required.

What are the key skills and responsibilities for the Case Manager role?

Key responsibilities include assessing members to develop comprehensive care plans, coordinating services, conducting face-to-face assessments and quarterly visits, maintaining documentation, and collaborating with care nurses and community partners. Strong compassion, communication skills, and ability to evaluate risks and promote independence are essential.

What is the company culture like at Humana for this team?

The culture emphasizes a caring community, collaboration with dedicated colleagues, delivering exceptional care, and empowering members to thrive, with a focus on compassion and enhancing quality of life.

What are the typical work hours for this position?

Typical workdays are Monday through Friday, 8:00 am to 4:30 pm CST.

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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