Humana
Overview
Become a part of our caring community and help us put health first. Humana is seeking an RN Care Manager (Health & Wellness Coordinator) to join the Inclusa team to serve members in the Wisconsin Family Care (FC) program in Outagamie County. As a Health & Wellness Coordinator (HWC) you will be responsible for partnering with your fellow colleagues to provide top quality coordination of care to our members. The HWC facilitates coordination, communication, negotiation, and collaboration of streamlined healthcare delivery processes on behalf of the member.
Responsibilities
Partner with a social services care manager (also referred to as a Community Resource Coordinator) and collaborate on an ongoing basis regarding the member and their plan.
Perform face-to-face health-related assessments for members upon enrollment and at least every six (6) months thereafter in the member’s setting.
Coordinate, perform, and track quarterly face-to-face visits and monthly phone contacts.
Participate in the development and ongoing review and coordination of the member’s plan of care.
Take the lead on all health issues for the member.
Contact and coordinate with acute and primary care providers.
Identify and coordinate clinical and functional supports needed for the member’s health and safety.
Educate on and promote prevention and wellness and mitigate risk when assessed.
Document activity and complete paperwork as required.
Traveling will be required and eligible for mileage reimbursement.
Qualifications Required Qualifications
Associate degree in nursing.
Must be a Registered Nurse, licensed in the state of Wisconsin.
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:
Outagamie County, Wisconsin and surrounding area.
Travel:
up to 40% throughout Outagamie County and surrounding area.
Typical Work Days/Hours:
Monday through Friday, 8:00 am – 4:30 pm CST.
Additional Policies
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: download speed of 25 Mbps and upload speed of 10 Mbps; wireless, wired cable or DSL connection recommended. Satellite, cellular and microwave connection require leadership approval. Employees who live and work from Home in certain states may receive a bi-weekly internet expense payment. Humana provides necessary telephone equipment and requires a dedicated workspace to protect member PHI / HIPAA information.
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.
Benefits
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
Modern Hire
As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire 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. Applicants may be asked to provide their Social Security Number if not already on file. When required, an email will be sent from Humana@myworkday.com with instructions 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
$71,100 - $97,800 per year. This job is eligible for a bonus incentive plan based on company and/or individual performance.
Description of Benefits
Humana offers competitive benefits supporting whole-person well-being, including medical, dental and vision, 401(k) with employer match, time off, disability, life insurance, and other opportunities.
About us
About Inclusa: Inclusa manages a person-centered, community-focused approach to long-term care services for Family Care members in Wisconsin. Inclusa joined Humana in 2022 to create a model of care with Commonunity, focusing on the common good for all. About Humana: Humana Inc. (NYSE: HUM) provides health services and strives to put health first for teammates, customers, and the company.
Equal Opportunity Employer
Humana does not discriminate against any employee or applicant for employment based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Humana complies with Section 503 and VEVRAA to employ individuals with disability or protected veteran status, based on valid job requirements.
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Responsibilities
Partner with a social services care manager (also referred to as a Community Resource Coordinator) and collaborate on an ongoing basis regarding the member and their plan.
Perform face-to-face health-related assessments for members upon enrollment and at least every six (6) months thereafter in the member’s setting.
Coordinate, perform, and track quarterly face-to-face visits and monthly phone contacts.
Participate in the development and ongoing review and coordination of the member’s plan of care.
Take the lead on all health issues for the member.
Contact and coordinate with acute and primary care providers.
Identify and coordinate clinical and functional supports needed for the member’s health and safety.
Educate on and promote prevention and wellness and mitigate risk when assessed.
Document activity and complete paperwork as required.
Traveling will be required and eligible for mileage reimbursement.
Qualifications Required Qualifications
Associate degree in nursing.
Must be a Registered Nurse, licensed in the state of Wisconsin.
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:
Outagamie County, Wisconsin and surrounding area.
Travel:
up to 40% throughout Outagamie County and surrounding area.
Typical Work Days/Hours:
Monday through Friday, 8:00 am – 4:30 pm CST.
Additional Policies
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: download speed of 25 Mbps and upload speed of 10 Mbps; wireless, wired cable or DSL connection recommended. Satellite, cellular and microwave connection require leadership approval. Employees who live and work from Home in certain states may receive a bi-weekly internet expense payment. Humana provides necessary telephone equipment and requires a dedicated workspace to protect member PHI / HIPAA information.
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.
Benefits
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
Modern Hire
As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire 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. Applicants may be asked to provide their Social Security Number if not already on file. When required, an email will be sent from Humana@myworkday.com with instructions 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
$71,100 - $97,800 per year. This job is eligible for a bonus incentive plan based on company and/or individual performance.
Description of Benefits
Humana offers competitive benefits supporting whole-person well-being, including medical, dental and vision, 401(k) with employer match, time off, disability, life insurance, and other opportunities.
About us
About Inclusa: Inclusa manages a person-centered, community-focused approach to long-term care services for Family Care members in Wisconsin. Inclusa joined Humana in 2022 to create a model of care with Commonunity, focusing on the common good for all. About Humana: Humana Inc. (NYSE: HUM) provides health services and strives to put health first for teammates, customers, and the company.
Equal Opportunity Employer
Humana does not discriminate against any employee or applicant for employment based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Humana complies with Section 503 and VEVRAA to employ individuals with disability or protected veteran status, based on valid job requirements.
#J-18808-Ljbffr