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Humana logo
Humana

CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive, and personalized.

Case Manager

ManagerManagerOtherRemoteJuniorTeam 10,001+Since 1961H1B SponsorCompany SiteLinkedIn

Location

Wisconsin

Posted

136 days ago

Salary

$53.7K - $72.6K / year

Seniority

Junior

Bachelor Degree1 yr expExperience acceptedEnglish

Job Description

Case Manager

Humana

• Assess members to identify their strengths, interests, and preferences, focusing on health and safety needs to develop a comprehensive Member Care Plan (MCP) • Coordinate services that address members’ health and safety needs, ensuring support is provided in the least restrictive environment in accordance with the MCP • Collaborate continuously with a Field Care Nurse (RN) to review and update care plans and address members’ evolving needs • Conduct face-to-face social assessments with members upon enrollment and at minimum, every six months • Schedule, conduct, and document quarterly in-person visits and maintain monthly contact with members by phone • Identify, arrange, and monitor support services for members, including those related to social integration, community resources, employment, housing, and other non-medical needs • Engage in clear and empathetic communication with members to better understand their needs • Maintain accurate and timely documentation of activities, including case notes, service authorizations, and updates to the Member Care Plan • Foster direct collaboration with service providers, natural supports, and other community partners to enhance member outcomes

Job Requirements

  • Four-year bachelor’s degree in the Human Services or related field with one (1) year of experience working with at least one of the Family Care target populations OR a four-year bachelor’s degree in any other field with three (3) years’ related experience working with at least one of the Family Care target populations
  • Previous experience with electronic case note documentation
  • Experienced with documenting in multiple computer applications/systems
  • Experience with health promotion, coaching and wellness
  • Knowledge of community health and social service agencies and additional community resources
  • Prior experience with Medicare & Medicaid recipients

Benefits

  • Medical, dental and vision benefits
  • 401(k) retirement savings plan
  • Paid time off
  • Company and personal holidays
  • Volunteer time off
  • Paid parental and caregiver leave
  • Short-term and long-term disability
  • Life insurance

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