Become a part of our caring community and help us put health first Join Humana as a Case Manager within the Inclusa/Humana team, where you will serve members in the Wisconsin Family Care (FC) program. Reporting to the Manager of Care Coaching, you will provide comprehensive case management services to frail elders and adults with intellectual, developmental, or physical disabilities. Job Description Main responsibilities: - Assess members health and safety needs to identify their strengths, interests, and preferences to develop a comprehensive Member Care Plan (MCP). - Coordinate with a Field Care Nurse to provide services that address members' health and safety needs, ensuring the team provides support in the least restrictive environment following the MCP. - Conduct face-to-face social assessments with members upon enrollment and at minimum, every six months, typically at the member's residence. - Conduct quarterly in-person visits and maintain monthly contact with members by phone. - Arrange support services for members, including those related to social integration, community resources, employment, housing, and other non-medical needs. - Ensure cost-effective service delivery. - Evaluate risk factors and provide education to members. - Maintain accurate documentation including case notes, service authorizations, and updates to the MCP. Use your skills to make an impact Required Qualifications - A Bachelor's degree in human services or a related field is required, with at least 1 year of experience serving frail elders or adults with intellectual, developmental, or physical disabilities. Alternatively, a Bachelor's degree in another field with at least 3 years of such experience is also acceptable. - Valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits Preferred Qualifications - Case Management experience - Experience with electronic case note documentation - Knowledge of community health and social service agencies and additional community resources Additional Information - Work Location: Columbia County, WI - Travel: up to 40% - Typical Workdays/Hours: Monday – Friday, 8:00 am – 4:30 pm CST 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. Mileage reimbursement is provided for work-related travel. Eligible mileage includes: - Travel from your home to your first work location of the day. - Travel between client or assignment locations during the workday. - Travel from your final work location back to your home. 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 required; 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. HireVue As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue 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. 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 (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About Inclusa: 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. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Why is Health Advocate a great place to work? For starters, Health Advocate employees enjoy helping people every single day. Employees are given the training they need to do their jobs well, and they work with supervisors and staff who are supportive and friendly. Employees have room to grow, and many of Health Advocate's supervisors are promoted from within the company. Join our award winning team! 2025: - Stevie® Awards for Sales & Customer Service: Customer Service Department of the Year – Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner 2024: - Excellence in Customer Service Awards: Organization of the Year (Small) - Stevie® Awards for Sales & Customer Service: Customer Service Department of the Year – Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner - Best in Biz Awards: Most Customer-Friendly Company of the Year – Medium and large category (Silver) As part of Teleperformance in the US, we were also named #95 in the 2024 ‘Fortune 100 Best Companies to Work For®’ in the USA by Great Places to Work (GPTW®) Patient Navigator Connect Care. Remove Barriers. Improve Outcomes. At Health Advocate, Patient Navigation is not a call center role — it’s a front-line access and engagement function that directly impacts patient outcomes. We are seeking a Patient Navigator who understands that timely support, compassionate communication, and proactive coordination can change the trajectory of someone’s healthcare experience. This role is designed for someone who thrives at the intersection of service, systems, and human connection. You will support patients in navigating complex healthcare pathways, removing access barriers, and ensuring they receive the right care at the right time. Compensation: $17.71 per hour If you are energized by helping others, solving problems, and making healthcare easier to access and understand — we want to meet you. Your Mission: What Success Looks Like Your primary accountability is to improve patient engagement and care navigation by delivering responsive, accurate, and compassionate support. Success in this role includes consistently achieving: 🔹 Timely Patient Engagement - Respond to inbound calls and conduct proactive outreach via phone, SMS, email, or IVR - Quickly build rapport and encourage active participation in care - Ensure patients feel heard, supported, and guided 🔹 Barrier Removal & Access Coordination - Assist with appointment scheduling, transportation coordination, and medical record transfers - Identify and address Social Determinants of Health (SDOH) impacting access - Connect patients to community resources and payer ecosystems - Reduce care delays and improve continuity of care 🔹 Accurate Documentation & Compliance - Verify and update patient demographic information in internal systems - Document all patient interactions thoroughly and accurately - Ensure every interaction complies with HIPAA and applicable federal/state regulations What You’ll Do: Your Roadmap to Impact Care Navigation & Patient Support - Provide live patient support for appointment scheduling and care coordination - Offer basic clinical education and appointment preparation guidance - Transfer calls requiring licensed clinical support to the 24/7 nurse line or appropriate internal teams - Follow up with patients, providers, and partners to ensure services are accessed as planned Research & Case Resolution - Track patient needs through to resolution - Identify and research barriers impacting care access - Prioritize open cases to ensure timely support - Monitor trends in patient issues and escalate patterns to your supervisor to improve service delivery Cross-Functional Collaboration - Work cooperatively with internal teams to meet service goals - Escalate complex or out-of-scope situations appropriately - Support departmental improvement initiatives - Assist with user acceptance testing for system updates and enhancements - Mentor new team members as needed Who You Are: The Navigator We’re Looking For You are service-driven, detail-oriented, and grounded in compassion. You understand that healthcare navigation requires both efficiency and empathy. You bring: - A High School Diploma or G.E.D. (required) - Associate’s degree in healthcare, social work, business administration, liberal arts, or related field (preferred) - 2+ years of experience in customer service, healthcare navigation, or patient support (required) - Experience in care coordination, community resources, or healthcare access (preferred) - Strong communication skills and active listening abilities - Comfort working across multiple systems and documenting accurately - A proactive mindset and strong organizational skills - Commitment to confidentiality and compliance standards Preferred certifications may include: Medical Assistant, Community Health Worker, EMT, Social Worker, Patient Navigator, or other healthcare-related credentials. Mental & Physical Requirements This position is primarily office-based and technology-driven. Essential physical functions include: - Frequent use of computers, telephones, and related systems - Typing, grasping, and repetitive motions - Sedentary work for extended periods Essential mental functions include: - Sustained concentration - Active listening - Clear verbal and written communication - Ability to manage multiple tasks simultaneously Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the role. Compensation & Benefits Pay Rate: $17.71 per hour Health Advocate offers a comprehensive benefits package including: - Medical, dental, and vision coverage - 401(k) with company match - Paid time off and paid holidays - Access to Health Advocate programs including EAP and wellness resources - Full training and system support Why Health Advocate? Because access matters. Every call you take, every barrier you remove, and every resource you connect impacts someone’s health journey. You are not simply answering questions — you are enabling care. If you’re ready to help patients navigate healthcare with clarity and compassion, apply today and make an impact where it matters most. Ready to Make an Impact? If you’re ready to guide patients through complex healthcare journeys, remove barriers to care, and create meaningful impact through compassionate navigation — we’d love to hear from you. Apply today and help redefine what Patient Navigation means at Health Advocate. Please note that this job description is intended to provide a general overview of the position and does not include an exhaustive list of all responsibilities, skills, or qualifications associated with the role. Physical Requirements: This position is primarily sedentary, requiring prolonged sitting while performing administrative tasks. The role involves extensive use of a computer for typing, mouse navigation, and reading information on a screen for extended periods. Frequent phone use is required for communication with team members, clients, or external parties. Essential physical functions include fingering, grasping, pulling hand-over-hand, and repetitive motions necessary for navigating software, entering data, and interacting with electronic documents. Mental and Cognitive Requirements: The role requires strong concentration, attention to detail, and the ability to complete tasks accurately. Critical thinking and problem-solving skills are essential to address issues that may arise in day-to-day duties. Effective verbal and written communication skills are needed for responding to inquiries and collaborating with others. Work Environment: This position is fully remote and requires a home office environment with appropriate lighting, a computer, and phone access. The workspace should be free from distractions to ensure effective focus and productivity during work hours. Company Overview Health Advocate is the nation’s leading provider of health advocacy, navigation, well-being and integrated benefits programs. For 20 years, Health Advocate has provided expert support to help our members navigate the complexities of healthcare and achieve the best possible health and well-being. Our solutions leverage a unique combination of best-in-class, personalized support with powerful predictive data analytics and a proprietary technology platform to address nearly every clinical, administrative, wellness or behavioral health need. Whether facing common issues or an unprecedented challenge like COVID-19, our team of highly trained, compassionate experts work together to go above and beyond expectations, making healthcare easier for our members and ensuring they get the care they need. Learn more Health Advocate https://www.healthadvocate.com/site/ Facebook https://www.facebook.com/healthadvocateinc/ Video https://vimeo.com/386733264/eb447da080 Awards: 2025: - Stevie® Awards for Sales & Customer Service: Customer Service Department of the Year – Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner 2024: - Excellence in Customer Service Awards: Organization of the Year (Small) - Stevie® Awards for Sales & Customer Service: Customer Service Department of the Year – Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner - Best in Biz Awards: Most Customer-Friendly Company of the Year – Medium and large category (Silver) 2023: - National Customer Service Association All-Stars Award: Service Organization of the Year. - Stevie® Awards for Sales & Customer Service: Customer Service Department of the Year – Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner 2022: - Stevie® Awards for Sales & Customer Service: Customer Service Department of the Year – Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner - Excellence in Customer Service Awards: Organization of the Year (Small) - Best in Biz Awards: Most Customer-Friendly Company of the Year – Medium and large category (Silver) 2021: - Stevie® Awards for Sales & Customer Service: Customer Service Department of the Year – Healthcare, Pharmaceuticals, and Related Industries, Silver Winner - Stevie® Awards for Sales & Customer Service: Most Valuable Response by a Customer Service Team (COVID-19). Bronze Winner - Best in Biz Awards: Most Customer-Friendly Company of the Year – Medium and large category (Silver) 2020: - National Customer Service Association All-Stars Award: Organizations of 100 or Greater, Runner-Up - Communicator Award of Distinction: October 2019 Broker News - MarCom Awards: Gold, COVID Staycation Ideas brochure - MarCom Awards: Platinum, 2021 Well-being Calendar - Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium category (Silver) VEVRAA Federal Contractor requesting appropriate employment service delivery systems, such as state workforce agencies and local employment delivery systems, to provide priority referrals of protected veterans. PAY TRANSPARENCY NONDISCRIMINATION PROVISION The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-I.35(c)

Are you looking for a position that will allow you to use your knowledge and expertise to collaborate with our internal and external partners including the manufacturers, healthcare providers, and organizations to provide access to life-saving products for Rare Disease patients? Responsibilities: - Provides best in class customer services to our patients, caregivers, manufacturers and internal and external partners. - Performs data entry tasks in multiple systems. Follows up via phone, mail, and/or fax for missing enrollment information and documents interactions accordingly. - Answer inbound calls and adheres to program-approved talking points and/or scripting for all inbound and outbound call interactions. - Understanding of insurance benefits and experience verifying insurance coverage for commercial, Medicaid and Medicare plans. - Coordinates access to appropriate support services, including reimbursement counseling, Patient Access and Copay Assistance programs, and general support. - Identifies and escalates repetitive questions and /or problems so that corrective action can be pursued and expedited. - Makes independent judgments in order to respond to complex or critical reimbursement issues. - Special projects and other duties as assigned. Qualifications: - High School diploma or GED - Ability to maintain effective relationships with client base to ensure the effective delivery of superior customer service. - Ability to resolve customer issues through process expertise without having to escalate to higher levels of Management but also understands when higher level of authorization is required. - Responsible for compiling and maintaining KPI reports for internal and external clients. - The candidate will need a friendly, confident disposition, a passion for talking on the phone, inquisitive and helpful nature, and a natural sense of curiosity. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 18 - 27 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

At Curana Health, we’re on a mission to radically improve the health, happiness, and dignity of older adults—and we’re looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities. Founded in 2021, we’ve grown quickly—now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for. If you’re looking to make a meaningful impact on the senior healthcare landscape, you’re in the right place—and we look forward to working with you. For more information about our company, visit CuranaHealth.com. Summary Patient Interaction - Answer and manage incoming calls in a professional and courteous manner. - Greet patients warmly and assist them with inquiries or direct them to the appropriate department. Patient Assessment - Conduct a thorough assessment of patients’ health concerns over the phone. - Gather relevant medical history, symptoms, and other pertinent information to determine the urgency and nature of the medical issue. - Determine the appropriate level of care needed and guide patients to the most suitable healthcare resources. Communication - Relay messages and information between patients and healthcare teams - Collaborate with other staff members to ensure seamless communication within our health network. Essential Duties & Responsibilities - High School Diploma or equivalent - Exceptional customer service skills - Organized and effective communicator - Ability to maintain confidentiality and handle sensitive information. - Proficient in using computer systems and electronic health records. - Strong problem-solving skills - Previous experience in a medical office or healthcare setting is preferred. - Team player with a positive attitude Qualifications Curana Health is dedicated to the principles of Equal Employment Opportunity. We affirm, in policy and practice, our commitment to diversity. We do not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable or state law, genetic information, or any other characteristic protected by applicable federal, state and local laws and ordinances. The EEO policy applies to all personnel matters as outlined in our company policy including recruitment, hiring, transfers, and general treatment during employment. *The company is unable to provide sponsorship for a visa at this time (H1B or otherwise). We’re thrilled to announce that Curana Health has been named the 147th fastest growing, privately owned company in the nation on Inc. magazine’s prestigious Inc. 5000 list. Curana also ranked 16th in the “Healthcare & Medical” industry category and 21st in Texas. This recognition underscores Curana Health’s impact in transforming senior housing by supporting operator stability and ensuring seniors receive the high-quality care they deserve.