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Humana

Case Manager. Job in Madison Gr8Jobs

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Job Description

Humana is seeking a Case Manager serving Dane and Columbia counties to coordinate healthcare and social services for diverse members. In this role, you'll assess needs, create person-centered care plans, and connect individuals with medical, behavioral health, and community resources. You'll collaborate closely with providers, monitor outcomes, and advocate to remove barriers to care. Humana's inclusive, member-focused culture supports your growth with training, flexible work options, and strong benefits while you help improve health and well-being at the community level. Responsibilities Coordinate and manage care plans for members in Dane and Columbia counties to support health and social needs Conduct assessments, identify gaps in care, and connect members with appropriate healthcare and community resources Collaborate with physicians, nurses, and social service providers to ensure integrated, person-centered care Educate members and families on conditions, treatment options, and available benefits to promote self-management Monitor member progress, document outcomes, and adjust care plans using data and clinical guidelines Advocate for members, addressing barriers such as transportation, housing, or access to medication Required Skills Care coordination Case management software (e.g., Salesforce, Care Management platforms) Healthcare and insurance knowledge (Medicare/Medicaid) Needs and risk assessment Motivational interviewing Electronic health records (EHR) documentation Community resource navigation Data tracking and outcomes reporting Regulatory compliance (HIPAA) Member and family education

Benefits

  • Dental Insurance