Humana
RN Care Manager (Health & Wellness Coordinator)
Humana is seeking an RN Care Manager (Health & Wellness Coordinator) to join the Inclusa team to serve members in the Wisconsin Family Care program in Fond du Lac, Outagamie, and Winnebago Counties. The HWC will partner with colleagues to provide top quality coordination of care to our members, assisting them in maintaining their daily lives. The HWC is responsible for facilitating the coordination, communication, negotiation, and collaboration of streamlined healthcare delivery processes on behalf of the member.
Key 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.
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/Winnebago/Fond du Lac Counties, Wisconsin and surrounding area.
Travel: up to 40% throughout Outagamie/Winnebago/Fond du Lac Counties.
Typical Work Days/Hours: Monday through Friday, 8:00 am – 4:30 pm CST.
Pay Range $71,100 - $97,800 per year.
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
Equal Opportunity Employer It is the policy of Humana not to 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. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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Key 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.
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/Winnebago/Fond du Lac Counties, Wisconsin and surrounding area.
Travel: up to 40% throughout Outagamie/Winnebago/Fond du Lac Counties.
Typical Work Days/Hours: Monday through Friday, 8:00 am – 4:30 pm CST.
Pay Range $71,100 - $97,800 per year.
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
Equal Opportunity Employer It is the policy of Humana not to 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. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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