Telephonic Case Manager

Become a part of our caring community   Join our team at Humana as a Telephonic Case Manager! You'll work from home, connecting with members over the phone, support their care journeys, and help affect their health and well-being. You'll collaborate with a caring team, build your skills, and bring your empathy to every conversation. You will report directly to the Manager of Care Management Support, who will support your success. Main Responsibilities: • Conduct initial and annual assessments of members' medical, behavioral and social needs. • Coordinates and organizes information from members' assessment to develop a care plan that addresses their needs and assures implemented interventions are collaborated with members and their providers/supports. • Builds constructive working relationships with physicians, social service providers and others by involving them in the Care Coordination process and assists in problem resolution involving members and providers as a member advocate including information for the member grievance process. • Review, monitors and updates care plans as indicated. • Provide information to members and providers regarding benefits, service providers and access protocols and educate members on appropriate use of medical services. Provide referrals for community resources and social services. • Document member information and contacts made regarding member's care and services provided. • Monitor member's willingness to participate in treatment regimes, and problem solves with staff, members and providers, alternatives or solutions to their needs. • Conduct follow up calls post hospitalization and emergency room visits according to policy. • Contribute to interdisciplinary i Care team meetings as either a participant or a facilitator. • Educate members on preventive health guidelines and programs. Use your skills to make an impact   Required Qualifications • Bachelor's degree in health and human services field • 2 or more years of case management experience • Must reside within the State of WI Preferred Qualifications • Bilingual • Prior experience with Medicare & Medicaid recipients • Prior Behavioral Health experience • Previous experience with electronic case note documentation • Knowledge of community health and social service agencies and additional community resources Additional Information • Typical Workdays/Hours: Monday – Friday, 8:00 am – 5:00pm CST • Work from home- on occasion may be required to travel to one of our offices Work at Home Requirements: 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 required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.   Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.   Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.   $53,700 - $72,600 per year   Description of Benefits Humana, Inc. and its affiliated subsidiaries (