Case Manager- Madison

Humana Inc.

Job Overview

Location

Remote Wisconsin

Job Type

Full-time

Full Job Description

📋 Description

• The Case Manager role at Humana Inc. is critical to ensuring members receive coordinated, high-quality care that improves health outcomes and reduces unnecessary costs. This position directly supports Humana’s mission to help people achieve lifelong well-being by managing complex care needs across diverse populations.
• Day to day, the Case Manager will assess member health status, develop individualized care plans, coordinate services across providers, monitor progress, and advocate for members navigating the healthcare system. This includes conducting outreach, facilitating transitions of care, collaborating with interdisciplinary teams, and documenting all interactions in compliance with regulatory standards.
• Humana Inc. is a leading health and well-being company focused on making it easier for people to achieve their best health. With a strong commitment to innovation, equity, and member-centered care, Humana serves millions across the U.S. through integrated clinical, behavioral, and pharmacy solutions.
• In this role, the Case Manager will develop advanced clinical judgment, strengthen communication and advocacy skills, gain expertise in care coordination models and healthcare regulations, and contribute to measurable improvements in member health and satisfaction—positioning them for growth into senior clinical or leadership roles within Humana’s care management ecosystem.

🎯 Requirements

• Active RN license in the state of Wisconsin or compact state licensure
• Minimum of 2 years of clinical nursing experience, preferably in case management, home health, or acute care settings
• Proficiency in electronic health record (EHR) systems and healthcare technology platforms
• Strong assessment, critical thinking, and communication skills with diverse populations
• Ability to work independently and manage a caseload in a remote environment
• Knowledge of Medicare, Medicaid, and commercial insurance guidelines

🏖️ Benefits

• Comprehensive medical, dental, and vision insurance plans
• 401(k) retirement plan with company match
• Paid time off and holiday pay
• Employee assistance program and wellness resources
• Tuition reimbursement and professional development opportunities
• Remote work flexibility with technology support

Skills & Technologies

Remote

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Humana Inc.

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About Humana Inc.

Humana Inc. is a for-profit health and well-being company headquartered in Louisville, Kentucky. Founded in 1961, it provides health insurance, Medicare Advantage plans, Medicaid services, pharmacy benefit management, and clinical care through primary care centers. Serving millions of members across the United States, Humana focuses on integrated care delivery, home health, and wellness programs aimed at improving health outcomes and reducing costs for individuals, employers, and government partners.

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