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Case Manager - Sparta, WI

Become a part of our caring community and help us put health first
 

The Care Coach evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Coach 1 work assignments are often straightforward and of moderate complexity.

The Care Coach 1 employs a variety of strategies, approaches and techniques to support a member's optimal wellness state by coordinating services & resources. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.


Use your skills to make an impact
 

Required Qualifications

  • Bachelor's degree in health and human services field
  • 2 or more years of related experience
  • Knowledge of Microsoft Office Word and Excel
  • Exceptional verbal/written communication and interpersonal skills
  • Ability to use a variety of electronic information applications/software programs
  • 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.
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  • 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 100,000/300,000/100,000 limits.

Preferred Qualifications

Prior experience with Medicare & Medicaid recipients

  • Previous experience with electronic case note documentation and 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

Additional Information

  • Workstyle: This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.
  • Work Location: Sparta, WI and surrounding areas.
  • Travel: up to 40% throughout Sparta, WI and surrounding areas.
  • Typical Work Days/Hours: Monday – Friday, 8:00 am – 4:30 pm CST

Limited Geography Remote - This is a remote position but located within a specific geography.

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 recommended; 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.

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.

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.

Benefits

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

  • Health benefits effective day 1
  • Paid time off, holidays, volunteer time and jury duty pay
  • Recognition pay
  • 401(k) retirement savings plan with employer match
  • Tuition assistance
  • Scholarships for eligible dependents
  • Parental and caregiver leave
  • Employee charity matching program
  • Network Resource Groups (NRGs)
  • Career development opportunities

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.

SSN Alert

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.

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Average salary estimate

$63150 / YEARLY (est.)
min
max
$53700K
$72600K

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What You Should Know About Case Manager - Sparta, WI, Humana

Are you ready to make a difference in people's lives? Join us as a Case Manager at Humana in Sparta, WI, where you can be part of a caring community dedicated to putting health first! In this engaging role, you'll evaluate the needs of our members and their families, guiding them towards the right resources to achieve optimal wellness. Your work, while sometimes straightforward, will play a crucial role in identifying and resolving the barriers that hinder effective care. With a Bachelor's degree in health and human services and two or more years of experience, your skills in communication and interpersonal interactions will be essential in driving the best outcomes for our patients. The responsibilities include continuous monitoring of patient care through assessments and active planning. This isn't just a job; it's an opportunity to positively impact lives every day! You'll thrive in a dynamic environment where your decisions and strategies make a real difference. If you're passionate about contributing to an organization that continuously improves the consumer experience, and you're ready to embrace the challenges that caring for our community presents, we want you on our team!

Frequently Asked Questions (FAQs) for Case Manager - Sparta, WI Role at Humana
What are the responsibilities of a Case Manager at Humana in Sparta, WI?

As a Case Manager at Humana in Sparta, WI, you'll take on a variety of responsibilities including evaluating member needs, coordinating services and resources, and identifying barriers to care. You'll continuously monitor patient progress and contribute to care planning, ensuring that members receive the support they need for optimal wellness. Your role is crucial in providing personalized assistance that makes a real difference in our members' lives.

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What qualifications are required to apply for the Case Manager position at Humana?

To qualify for the Case Manager role at Humana in Sparta, WI, candidates must have a Bachelor's degree in a health or human services field and at least two years of related experience. Familiarity with Microsoft Office applications, along with exceptional communication skills, is essential. Additionally, experience with Medicare and Medicaid recipients is preferred, enhancing your capability to serve our diverse member base.

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What does the work environment look like for a Case Manager at Humana in Sparta, WI?

The work environment for a Case Manager at Humana in Sparta, WI, is primarily field-based, requiring travel to business partner facilities and members' homes. This role allows for interaction with different community resources while maintaining a flexible schedule. The office hours typically run Monday to Friday from 8:00 am to 4:30 pm CST, providing a structured yet adaptable workday.

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Can I work remotely as a Case Manager at Humana?

Yes, the Case Manager position at Humana can be performed remotely, but candidates must live within specific geographies like Sparta, WI. While remote, occasional travel may be required for meetings or training sessions. Humana supports a hybrid work style where employees can balance their personal and professional commitments effectively.

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What benefits does Humana offer to Case Managers?

Humana provides an array of competitive benefits for Case Managers, including health benefits effective from day one, paid time off, a 401(k) retirement savings plan with employer matching, tuition assistance, and various other perks aimed at fostering wellness and financial security for employees and their families.

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Common Interview Questions for Case Manager - Sparta, WI
What strategies do you use to assess a member's needs as a Case Manager?

A successful approach involves utilizing a wide variety of assessment tools and techniques, including direct conversations with members, their families, and other healthcare professionals. It's important to gather comprehensive data that reflects the member's needs, desires, and lived experiences to create tailored care plans.

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How do you manage communication with diverse members as a Case Manager?

I prioritize clear, compassionate communication and actively listen to understand the unique circumstances of each member. Adaptability in my communication style is key, and I strive to meet members where they are, ensuring I provide information that is accessible and relevant to their personal situations.

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What do you do when you identify a barrier to effective care?

When I identify barriers, I approach them systematically by collaborating with the member to brainstorm potential solutions. It's crucial to engage them in this process, empowering them to take part in finding ways to overcome obstacles while utilizing community resources and support systems.

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Can you describe a challenging case you've managed and how you resolved it?

In a challenging case where a member faced transportation issues affecting their access to care, I coordinated with local service providers and arranged for rides while also exploring telehealth options. By actively involving the member in the discussion, we were able to ensure their needs were understood and met, facilitating ongoing care.

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How do you stay organized in tracking your member's progress?

I use a mix of digital tools and traditional methods to stay organized. Keeping detailed electronic case notes and employing task management software helps ensure that I monitor each member's progress effectively. Regular check-ins and reviews of care plans also keep me on track.

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What role does teamwork play in your approach as a Case Manager?

Teamwork is essential in case management. I rely on collaboration with other healthcare professionals to provide holistic care, ensuring that each member receives the best possible support. Sharing insights and updates with colleagues allows us to develop a comprehensive strategy for each member's needs.

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What qualities do you believe are essential for success as a Case Manager?

Empathy, strong communication, and organizational skills are crucial. Additionally, adaptability allows me to respond to dynamic situations effectively while problem-solving abilities help in creating tailored solutions when challenges arise in care.

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How would you prioritize your caseload?

Prioritizing my caseload involves assessing the needs and urgency of each member's situation. I employ a system to categorize cases by complexity and the immediacy of needs, allowing me to manage my time effectively and ensure that critical care is delivered promptly.

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How do you approach ongoing education in healthcare practices?

I am committed to continuous learning through attending workshops, webinars, and conferences. Staying informed about the latest healthcare trends and innovations directly benefits my ability to serve members and ensure they receive the most effective care possible.

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Why do you want to work as a Case Manager for Humana?

I want to work as a Case Manager for Humana because I am passionate about improving healthcare access and outcomes for diverse communities. Humana’s commitment to putting health first resonates strongly with my values, and I am excited about the opportunity to contribute to an organization that prioritizes the well-being of its members.

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Since 1961, Humana has been committed to helping people live healthy and happy. Our approach is simple—offer personalized care from people who care. We do this by listening to our members and creating solutions to help them reach the best version ...

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Full-time, remote
DATE POSTED
April 7, 2025

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