Care Coordination Case Manager -

Healthcare Date Posted:

27 September 2026

Closing Date:

October 27, 2026

Recruiter:

Humana Location:

Viroqua, Wisconsin Salary:

USD76,000

to

USD94,000

Job Type & Industry:

Data, Ai & Technology >

Ai & Technology Governance, Technology Risk, Healthcare & Pharmaceutical Contract Type:

Permanent Job Reference:

2989949183-2 Apply for this job now Job Description Humana is seeking a Case Manager to support members in Juneau County through person-centered, integrated care. In this role, you will manage a defined caseload, complete comprehensive assessments, and develop individualized care plans that address medical, behavioral, and social needs. You will coordinate with providers, community agencies, and internal teams to close care gaps, reduce avoidable hospitalizations, and improve quality metrics. Using Humana's data and technology tools, you will prioritize outreach, track outcomes, and maintain accurate documentation. This position operates in a member-focused, collaborative culture with opportunities for growth, flexible work options, and competitive pay and benefits. Responsibilities Manage a caseload of members in Juneau County, coordinating medical, behavioral, and social services Conduct comprehensive assessments to identify health risks, social determinants, and care needs Develop and update individualized care plans aligned with evidence-based guidelines and member goals Collaborate with providers, community agencies, and internal teams to close care gaps and remove barriers Educate members and families on benefits, condition management, and available community resources Track outcomes, document encounters, and maintain accurate, timely records in Humana systems Monitor utilization, quality metrics, and readmission risks, escalating complex cases as needed Support care transitions between hospitals, facilities, and home to ensure continuity of care Use data and analytics tools to prioritize outreach and measure program effectiveness Participate in team huddles, training, and continuous improvement initiatives to enhance member experience Required Skills Case management and care coordination Clinical assessment and triage Knowledge of Medicare/Medicaid and health insurance benefits Utilization management and discharge planning Electronic health record and care management software use Data analysis and outcomes tracking Community resource navigation and referral Motivational interviewing and member engagement Regulatory and compliance knowledge (HIPAA, CMS) Interdisciplinary team collaboration