Join the Humana team in this exciting role as a Case Manager. Reporting to the Manager of Care Management Support, you will provide care coordination, support, and education to members enrolled Medicaid, BadgerCare, SSI. You will work from home but will also be required to visit your members in their home or community setting throughout the Southeastern Wisconsin area (approximately 50% travel).
Responsibilities:
- Conduct comprehensive Medicaid-required psychosocial and functional assessments as part of the care management process to identify member needs, risks, strengths, and barriers affecting health and independence.
- Develop, implement, coordinate, and monitor individualized, person‑centered care plans following Medicaid program requirements, ensuring services and supports align with member‑identified goals and outcomes.
- Perform ongoing reassessments and care plan updates at required intervals and as member needs change, monitoring health status, safety, service effectiveness, and progress toward desired outcomes.
- Conduct required face‑to‑face visits with members in their homes or community settings to assess needs, evaluate service delivery, provide education, and support member engagement in care.
- Coordinate and monitor Medicaid-covered services, and community-based resources to ensure access, continuity of care, and avoidance of service gaps.
- Document assessments, face‑to‑face visits, care plans, member interactions, and service coordination activities following Medicaid, contractual, and organizational documentation standards.
- Educate members on preventive health measures, wellness strategies, and care adherence to support improved health outcomes and compliance with Pay for Performance (P4P) quality measures.
- Build collaborative relationships with members, families, caregivers, providers, and community agencies to promote engagement, and care coordination.
- Collaborate with physicians, interdisciplinary care teams, and other healthcare professionals to coordinate and integrate medical, behavioral, and social services.
- Educate members and providers regarding Medicaid benefits, covered services, provider roles, and appropriate use of healthcare services; refer members to community resources and social services.
Use your skills to make an impact
Required Qualifications
- Bachelor's degree in health and human services field.
- 2 or more years of experience in case management.
- Must have a private room with a locked door that can be used as a home office to ensure privacy while you work.
Preferred Qualifications
- License in health and human services field (CSW, LPC, LPC-IT, OT-A).
- Bilingual in English/Spanish.
- Behavioral Health experience.
- Experience working in a managed care organization.
- Prior experience with Medicare & Medicaid recipients.
Additional Information:
- Location: must reside in southeastern WI area.
- Workstyle: Field
- Travel: Up to 50% throughout southeastern WI.
- Typical Workdays/Hours: Monday through Friday, 8:30 am – 5:00 pm CST.
Driving
You will be part of Humana's driver safety program and therefore requires you 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.
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.
WAH Internet Statement
To ensure Home or Hybrid Home/Office employees', 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 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 use an interviewing technology called HireVue to enhance our hiring. HireVue allows us to quickly connect and gain valuable information from you about your relevant 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
40Pay 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.
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 Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
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.
Skills Required
- Bachelor's degree in health and human services field
- 2 or more years of experience in case management
- Reside in southeastern Wisconsin area
- Ability to travel up to 50% for in-person member visits
- Private room with locked door to use as home office (privacy/HIPAA)
- Valid state driver's license
- Proof of personal vehicle liability insurance with at least 100/300/100 limits
- Minimum home internet: 25 Mbps download and 10 Mbps upload
- TB screening (patient-facing role; screening required if selected)
- License in health and human services field (CSW, LPC, LPC-IT, OT-A)
- Bilingual English/Spanish
- Behavioral health experience
- Experience working in a managed care organization
- Prior experience with Medicare & Medicaid recipients
Humana Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Humana and has not been reviewed or approved by Humana.
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Healthcare Strength — Medical, dental, vision, supplemental health, and long-term care insurance are offered alongside on-site/virtual wellness resources and weekly paid well-being time, indicating a whole-person focus.
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Leave & Time Off Breadth — Paid PTO and holidays, volunteer time, and formal leave options such as parental and caregiver time provide broad time-away support. Adoption assistance and lactation rooms extend coverage for key life events.
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Retirement Support — A 401(k) with company match anchors long-term savings. Employer-matched emergency savings programs complement retirement planning.
Humana Insights
What We Do
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
