Bilingual Registered Nurse Care Coordinator

Humana; Madison (WI); Remote; USD 71,000 - 98,000; Full time

Job summary

Humana/iCare seeks an RN Care Manager to support members in the Family Care Partnership program across multiple Wisconsin counties. You will perform nursing assessments, provide case management, and collaborate with an Interdisciplinary Team to ensure safe, cost-efficient care.

The role involves home and community visits and travel up to 50% to meet member needs. Eligible for a bonus plan; benefits include comprehensive medical, dental, vision and 401(k) offerings.

Qualifications

• Must be a Registered Nurse licensed in Wisconsin.
• Two years of related health care experience.
• BSN is required.
• Experience with home health, managed care or case management.
• Experience with adults in health care settings, including disabilities or older adults.

Responsibilities

• Provide case management and support to adults in the community.
• Work with an Interdisciplinary Team to ensure quality, cost-effective services.
• Conduct nursing assessments during home and community visits.
• Monitor wellness and health promotion activities based on assessments.
• Re-evaluate health to manage ongoing issues and intervene as needed.
• Assess safety and provide interventions in crisis situations.
• Evaluate members' ability to manage medications and care plans.
• Assist with program development and input for QA/QI.

Skills

Case management experience

Travel up to 50%

Education

Registered Nurse license in Wisconsin

Bachelor of Science in Nursing (BSN)

Job description

Become a part of our caring community

Humana/iCare is seeking an RN Care Manager to join the team in the Family Care Partnership (FCP) program to provide services to members in our newly expanded service area to include the following Counties: Racine, Kenosha, Waukesha, Washington, Ozaukee, Walworth and Sheboygan.

• Reporting to the Manager of Care Management, you will provide case management and support to adults in the community, assuring quality services are provided that are cost effective, all while monitoring the health and safety of your members. You will work as part of an Interdisciplinary Team (IDT) setting to help manage members that are enrolled in the Family Care Partnership program. You will conduct home and community visits to members to complete the nursing assessment and assures members have appropriate care and access to services.
• Complete the nursing portion of the comprehensive assessment and provide input to the members care accordingly.
• Monitor wellness and health promotion activities based on the member's assessment and identified outcomes.
• Re-evaluate the member's health and wellness at appropriate intervals to manage ongoing health issues, assess the member's response to interventions, or when a medical complaint or event affecting the member's health occurs.
• Perform routine health monitoring activities, based on the member's need.
• In crisis situations, provides appropriate assessment of psychiatric, behavioral or medical problems and implements interventions in conjunction with other staff to take appropriate measures to ensure the safety of members.
• Evaluate members' ability to safely manage, either by themselves or through use of supports, their medication, medical care interventions and treatments, equipment, and access to health care services.
• Provide or arrange for services, supports or medical care that best meet the member's identified needs, and monitor the effectiveness of these interventions.
• Assists with program, policy, and procedure development and assists with input for the QI/QA program.

• Must be a Registered Nurse, licensed in the State of Wisconsin.
• Two (2) years of related health care experience.
• Must be able to travel to any location within the following counties:Bachelor of Science degree in Nursing (BSN).
• Previous home health, managed care or case management experience.
• Previous experience working with persons with physical, intellectual/developmental disabilities, or older adults in a health care setting.
• Case Manager Certification.

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.

Travel:

up to 50% throughout the following counties: Typical Work Days/Hours:

Typical Work Days/Hours:

Monday – Friday, 8:30 am – 5:00 pm Central Standard Time (CST).

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.

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: wireless, wired cable or DSL connection is suggested. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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. 71,100 - $97,800 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Humana: Humana Inc. (S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. 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.