Bilingual Registered Nurse Care Coordinator

Humana; Wisconsin; Remote; USD 71,000 - 98,000; Full time

Benefits offered by this job

Medical benefits

401(k) plan

Paid time off

Job summary

Humana/iCare seeks an RN Care Manager for the Family Care Partnership program serving Racine, Kenosha, Waukesha, Washington, Ozaukee, Walworth and Sheboygan counties.

You will conduct nursing assessments, perform home visits, and collaborate with an IDT to ensure high-quality, cost-effective care for adults in the community.

Qualifications

• Active Wisconsin RN license is required.
• BSN degree required.
• Minimum 2 years of health care experience, case management preferred.
• Experience in home health, managed care or case management.
• Experience with adults with disabilities or older adults preferred.
• Case Manager Certification preferred.

Responsibilities

• Perform nursing assessments during home visits and in the community.
• Provide case management and coordinate services with an IDT.
• Monitor wellness, health promotion and outcomes for members.
• Evaluate health status and adjust plans; ensure safe medication management.
• Assist with program development, QA/QI activities, and policy input.

Skills

Case management

Home health nursing

Education

Bachelor of Science in Nursing (BSN)

Wisconsin RN license

Case Manager Certification

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.

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: Racine, Kenosha, Waukesha, Washington, Ozaukee, Walworth and Sheboygan.

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.

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 performance.

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.