Case Manager
Company: Humana
Location: La Crosse
Posted on: November 16, 2023
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Job Description:
Description
Humana is seeking a Social Worker/Case Manager, aka: Community
Resource Coordinator (CRC), to join the 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.
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.
Traveling will be required and eligible for mileage
reimbursement.
Required Qualifications
The Family Care target group population is defined as: frail elders
and adults with intellectual, developmental, or physical
disabilities
Preferred Qualifications
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: La Crosse, WI and surrounding areas.
Travel: up to 40% throughout La Crosse, 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 a specific geography.
WAH Internet Statement
To ensure Home or Hybrid Home/Office employees' ability to work
effectively, the self-provided internet service of Home or Hybrid
Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10
Mbps is recommended; wireless, wired cable or DSL connection is
suggested.
Satellite, cellular and microwave connection can be used only if
approved by leadership.
Employees who live and work from Home in the state of California,
Illinois, Montana, or South Dakota will be provided a bi-weekly
payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with
telephone equipment appropriate to meet the business requirements
for their position/job.
Work from a dedicated space lacking ongoing interruptions to
protect member PHI / HIPAA information.
Driving
This role is part of Humana's driver safety program and therefore
requires an individual to have a valid state driver's license and
proof of personal vehicle liability insurance with at least
100/300/100 limits.
TB
This role is considered patient facing and is part of Humana's
Tuberculosis (TB) screening program. If selected for this role, you
will be required to be screened for TB.
Benefits
Humana offers a variety of benefits to promote the best health and
well-being of our employees and their families. We design
competitive and flexible packages to give our employees a sense of
financial security-both today and in the future, including:
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
Modern Hire
As part of our hiring process for this opportunity, we will be
using an interviewing technology called Modern Hire to enhance our
hiring and decision-making ability. Modern Hire allows us to
quickly connect and gain valuable information from you pertaining
to your relevant skills and experience at a time that is best for
your schedule.
SSN Alert
Humana values personal identity protection. Please be aware that
applicants may be asked to provide their Social Security Number, if
it is not already on file. When required, an email will be sent
from Humana@myworkday.com with instructions on how to add the
information into your official application on Humana's secure
website.
Inclusa manages the provision of a person-centered and
community-focused approach to long-term care services and support
to Family Care members across the state of Wisconsin. As a
values-based organization devoted to building vibrant and inclusive
communities, Inclusa deploys a unique approach to managed care with
a trademarked model of support named Commonunity - which focuses on
the belief in everyone, and from that belief, the common good for
all is achieved. In 2022, Inclusa was acquired by Humana. This
partnership will allow us to create a model of care that provides
industry-leading support for members across the health care
continuum.
Scheduled Weekly Hours
40
Humana complies with all applicable federal civil rights laws and
does not discriminate on the basis of race, color, national origin,
age, disability, sex, sexual orientation, gender identity or
religion. We also provide free language interpreter services. See
our
https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Keywords: Humana, La Crosse , Case Manager, Executive , La Crosse, Wisconsin
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