RN Case Manager

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, giving you more time for what matters most. Humana is currently seeking an RN Case Manager to join our team, serving members in the Wisconsin Family Care (FC) program. In this vital role, you will collaborate with dedicated colleagues to ensure exceptional care coordination for our members, providing crucial support and education to help them thrive in their daily lives.

Take the next step in your nursing career and make a meaningful difference with Humana.

Key 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, assistance with 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 time frames.

* Participate in member monthly phone contacts and attend in person visits in members setting.

* Traveling will be required and eligible for mileage reimbursement.

Use your skills to make an impact

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

* Bachelors degree in nursing.

* 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:

Baraboo and surrounding area.

* Travel: up to 40% throughout Baraboo and surrounding area

* Typical Work Days/

Hours:

Monday through Friday, 8:00 am - 4:30 pm CST.

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:

* At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

* Satellite, cellular and microwave connection can be used only if approved by leadership.

* Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

* Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

* Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Driving

This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.

TB

This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Hire Vue

As part of our hiring process for this opportunity, we will be using an interviewing technology called Hire Vue to enhance our hiring and decision-making ability. Hire Vue 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.

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

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$71,100 - $97,800 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual…