Humana
Overview
Become a part of our caring community and help us put health first. Enjoy a rewarding career with a true work/life balance—no nights or weekends. Humana is currently seeking an RN Case Manager to join our team, serving members in the Wisconsin Family Care (FC) program. In this role, you will collaborate with colleagues to ensure exceptional care coordination for our members, providing crucial support and education to help them thrive in their daily lives.
Responsibilities
Partner with a Care Coach (also referred to as a Case Manager), taking the lead on health-related needs, to collaborate on an ongoing basis regarding the member and their care plan.
Conduct regular health assessments for members and implement appropriate strategies and services to develop individualized care plans that support their continued health and safety.
Contribute to the creation, continuous evaluation, and coordination of the member’s plan of care, including coordinating with outside providers to provide support with medication administration, home care, skilled nursing visits, and related services to ensure comprehensive care.
Contact and coordinate with acute and primary care providers.
Promote health and wellness through patient education on disease prevention, nutrition, exercise and lifestyle modifications.
Provide members with education and information about disease processes and related risks, supporting informed decision-making while respecting each individual's autonomy.
Daily documentation in member files within required DHS contract timeframes.
Participate in member monthly phone contacts and attend in-person visits in members' settings.
Traveling will be required and eligible for mileage reimbursement.
Required Qualifications
Associate degree in nursing.
Must be a Registered Nurse, licensed in the state of Wisconsin in good standing.
Demonstrated intermediate computer proficiency, including experience with Microsoft Office applications.
Preferred Qualifications
Bachelor degree in nursing.
One (1)+ years of experience with Family Care target group: frail elders and adults with intellectual, developmental, or physical disabilities.
Care Management experience.
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:
Marquette County with some support in Waushara, Green Lake, and Adams Counties.
Travel:
up to 40% throughout Marquette County with some support in Waushara, Green Lake, and Adams Counties.
Typical Workdays/Hours:
Monday through Friday, 8:00 am – 4:30 pm CST.
Other Statements
Driving:
This role is part of Humana's driver safety program and requires a valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
TB:
This role is patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected, you will be screened for TB.
HireVue:
We use an interviewing technology called HireVue as part of our hiring process.
SSN Alert:
Applicants may be asked to provide their Social Security Number when required, via Humana's secure website.
Travel and Schedule 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 and Benefits Pay Range: $71,100 - $97,800 per year. This job is eligible for a bonus incentive plan. The compensation range reflects a good faith estimate of starting base pay for full-time (40 hours per week) employment at the time of posting and may vary by geographic location and individual qualifications.
Description of Benefits: Humana offers competitive benefits including medical, dental and vision, 401(k), time off, disability, life insurance, and more.
About us About Inclusa: Inclusa manages long-term care services and supports to Family Care members in Wisconsin and is part of Humana. About Humana: Humana Inc. is committed to putting health first, helping people achieve their best health through insurance and care services.
Equal Opportunity Employer Humana does not 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 protected veteran status. Humana complies with applicable laws and anti-discrimination regulations.
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Become a part of our caring community and help us put health first. Enjoy a rewarding career with a true work/life balance—no nights or weekends. Humana is currently seeking an RN Case Manager to join our team, serving members in the Wisconsin Family Care (FC) program. In this role, you will collaborate with colleagues to ensure exceptional care coordination for our members, providing crucial support and education to help them thrive in their daily lives.
Responsibilities
Partner with a Care Coach (also referred to as a Case Manager), taking the lead on health-related needs, to collaborate on an ongoing basis regarding the member and their care plan.
Conduct regular health assessments for members and implement appropriate strategies and services to develop individualized care plans that support their continued health and safety.
Contribute to the creation, continuous evaluation, and coordination of the member’s plan of care, including coordinating with outside providers to provide support with medication administration, home care, skilled nursing visits, and related services to ensure comprehensive care.
Contact and coordinate with acute and primary care providers.
Promote health and wellness through patient education on disease prevention, nutrition, exercise and lifestyle modifications.
Provide members with education and information about disease processes and related risks, supporting informed decision-making while respecting each individual's autonomy.
Daily documentation in member files within required DHS contract timeframes.
Participate in member monthly phone contacts and attend in-person visits in members' settings.
Traveling will be required and eligible for mileage reimbursement.
Required Qualifications
Associate degree in nursing.
Must be a Registered Nurse, licensed in the state of Wisconsin in good standing.
Demonstrated intermediate computer proficiency, including experience with Microsoft Office applications.
Preferred Qualifications
Bachelor degree in nursing.
One (1)+ years of experience with Family Care target group: frail elders and adults with intellectual, developmental, or physical disabilities.
Care Management experience.
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:
Marquette County with some support in Waushara, Green Lake, and Adams Counties.
Travel:
up to 40% throughout Marquette County with some support in Waushara, Green Lake, and Adams Counties.
Typical Workdays/Hours:
Monday through Friday, 8:00 am – 4:30 pm CST.
Other Statements
Driving:
This role is part of Humana's driver safety program and requires a valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
TB:
This role is patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected, you will be screened for TB.
HireVue:
We use an interviewing technology called HireVue as part of our hiring process.
SSN Alert:
Applicants may be asked to provide their Social Security Number when required, via Humana's secure website.
Travel and Schedule 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 and Benefits Pay Range: $71,100 - $97,800 per year. This job is eligible for a bonus incentive plan. The compensation range reflects a good faith estimate of starting base pay for full-time (40 hours per week) employment at the time of posting and may vary by geographic location and individual qualifications.
Description of Benefits: Humana offers competitive benefits including medical, dental and vision, 401(k), time off, disability, life insurance, and more.
About us About Inclusa: Inclusa manages long-term care services and supports to Family Care members in Wisconsin and is part of Humana. About Humana: Humana Inc. is committed to putting health first, helping people achieve their best health through insurance and care services.
Equal Opportunity Employer Humana does not 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 protected veteran status. Humana complies with applicable laws and anti-discrimination regulations.
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