Insurance Case Manager Jobs in Wisconsin (NOW HIRING)

If you are currently employed at Vivent Health, please log into UKG and submit your application through the My Company/View Opportunities page.
We're on a mission to end HIV/AIDS through integrated, personalized, judgment-free care. That means meeting people where they are and supporting the whole person - medically, socially, and emotionally. And every role here plays a part in that mission.
We believe healthcare works best when it's rooted in equity, dignity, and access for all. At Vivent Health, we're building a culture where every person - both patients and employees - feels seen, respected, and empowered to thrive.
But what truly sets us apart is how we work.
You'll be part of a deeply collaborative, interdisciplinary team united around one goal: better outcomes for the communities we serve. Our model brings together medical care, behavioral health, pharmacy, research, and prevention, creating a holistic approach that changes lives every day.
This isn't just a workplace.
It's a community.
It's a mission.
It's your chance to be part of something bigger.
Choose Vivent Health and turn your work into purpose.
YOUR CONTRIBUTION:
Deliver Excellence. Oversee with Integrity. Drive Progress. Exceed Expectations.
The Case Manager will be an integral part of our healthcare team, providing comprehensive and compassionate case management services to clients. Your role involves collaborating with healthcare professionals and others as needed to address our clients' medical, social, and emotional needs of our clients, ensuring they receive the highest quality of care.
OUR EXPECTATIONS:
Winning skills and behaviors for success

• Collaborates with HIV testing sites, the prevention team, clinical staff, and local providers to initiate access to care for the newly diagnosed and others at risk for not engaging in care. In some locations, may also work with those out-of-care to re-engage in care.
• Conduct thorough assessments of clients' medical and psychosocial needs to develop individualized case management plans.
• Collaborate with healthcare providers to coordinate and facilitate access to medical services, ensuring a holistic approach to patient care.
• Perform eligibility assessments and collect eligibility proof documentation to facilitate access to grant funded services.
• Assist clients in accessing community resources, social services, support programs, and insurance coverage to enhance their overall well-being.
• Act as an advocate for clients within the healthcare system, ensuring their voices are heard and their needs are met.
• Provide timely and effective crisis intervention services, offering support to clients facing medical, social, or emotional challenges.
• Maintain accurate and up-to-date documentation of case management activities, adhering to organizational and regulatory standards.
• Work closely with interdisciplinary healthcare teams, including physicians, nurses, and mental health professionals, to achieve optimal health outcomes for clients.
• Provide health education and support to clients, empowering them to actively participate in managing their healthcare.
• Assist team members in coverage and assist other service lines when necessary (examples include food pantry, prevention, telehealth rooming, front desk).
• This job description is not all-inclusive and outlines the main responsibilities and requirements of the role. Employees may be asked to perform additional job-related tasks as needed.
• Adheres to all agency policies, including Confidentiality, Employee Handbook, Health Care Corporate Compliance Plan, Standards of Conduct, training, and other relevant policies.

NOTE: Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.
KNOWLEDGE REQUIRED:
Required and preferred knowledge and experiences to succeed.

• Education:


• Bachelor's degree in Social Work, Psychology, or a related field required.


• Work Experience:


• Previous experience in case management preferred.
• Valid Government Issued Driver's License required.
• Experience working in healthcare and social service systems preferred.
• Familiarity with coordinating and managing patient care plans, ensuring comprehensive and integrated services.
• Experience in providing effective crisis intervention services to individuals facing medical, social, or emotional challenges.
• HIV experience in a healthcare environment or social services setting preferred.


• Technical Experience:


• Ability to learn multiple databases and software systems.


• Soft Skills:


• Strong interpersonal and communication skills.
• Empathy and understanding of diverse cultural perspectives.
• Ability to work independently and collaboratively within a team.
• Problem-solving and decision-making abilities.
• Commitment to upholding ethical standards and confidentiality.

Additional Preferred Qualifications:

• HIV experience in a not-for-profit environment.

STATEMENT OF INCLUSION:
Vivent Health is an equal opportunity employer and will recruit, hire, promote, and transfer qualified persons into all job classifications regardless of race, gender, religion, skin color, national origin or ancestry, physical disability (including pregnancy), mental disability, age, gender identity, sexual orientation, legally protected medical condition, family care status, marital status, veteran status, genetic characteristics, or any other characteristic protected by federal or state law. Vivent Health complies with other expanded protected classifications that specific county or municipal regulations may mandate.
Vivent Health is deeply committed to fostering respect, dignity, and understanding for all individuals affected by HIV, regardless of race, ethnicity, sexual orientation, gender identity, socioeconomic status, or any other characteristic. We are dedicated to cultivating a supportive and inclusive environment that champions advocacy, education, and compassionate care for everyone in our diverse community.
Going beyond the law's requirements, Vivent Health places great importance on fostering a culture that celebrates diversity, equity, inclusion, and belonging. We actively seek qualified candidates from different racial, cultural, and economic backgrounds, as we believe that differing perspectives and experiences make us stronger as an organization. Vivent Health encourages all interested persons to apply for this position, and we look forward to learning more about your unique background and qualifications.
As a recipient of federal funding, Vivent Health will not hire nor enter a contractual relationship with any party debarred, suspended, or excluded from federal assistance programs.
Pay Rate:
Starting at $51,000/annually (Depending on Experience)
The final salary will be determined based on factors such as market data, internal equity, candidate experience and qualifications. Please note that it is uncommon for an individual to be hired at or near the top of the range.
Why join us?

• Generous PTO, including 12 paid holidays
• 401(k) with 100% employer match up to 5%
• 12 weeks fully paid parental leave for benefits-eligible employees after one year
• Employer-subsidized medical, dental, vision, and gender-affirming care
• Tuition reimbursement and licensure assistance
• Benefits for full-time and eligible part-time roles

Public Student Loan Forgiveness
Employment at our organization may qualify you for federal student loan forgiveness programs. We do not directly pay for - nor forgive - federal student loans; however, our status as a not-for-profit organization under Section 501 (c) (3), makes us an eligible employer. There may be other determining factors for one to qualify.
Please follow this URL to review one such program and their requirements:
https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.