Healthcare Case Manager – Health Insurance

@ Humana

Healthcare Case Manager – Health Insurance

Richland Center, WI
Posted today

About the job

Humana is a healthcare company dedicated to improving health outcomes through coordinated care. The Case Manager role involves assessments, care planning, and collaboration to close care gaps and educate members. Join us for a collaborative culture with flexible options and growth opportunities.

Requirements

  • Care coordination experience
  • Assessment skills
  • Data analysis abilities
  • Knowledge of healthcare regulations

Qualifications

  • Healthcare-related degree
  • Strong communication skills
  • Experience with Medicare/Medicaid
  • Team-oriented attitude

Full job description

Humana is seeking a Case Manager to coordinate and optimize care for members within our Healthcare & Medical Services team. In this role, you will complete comprehensive assessments, develop individualized care plans, and collaborate with physicians, pharmacists, and community partners to close care gaps and improve health outcomes. You will educate members on conditions and resources, use data and analytics to identify high-risk cases, and ensure compliance with Medicare, Medicaid, and regulatory requirements. You’ll join a member-focused, inclusive, and collaborative culture with strong benefits, flexible work options, and opportunities for ongoing learning and career growth.
Show full description