FCP RN Care Manager

Humana Inc; Wisconsin; Hybrid; USD 71,000 - 98,000; Full time

Benefits offered by this job

Mileage reimbursement

Bonus incentive plan

Job summary

Humana Inc. is seeking an RN Care Manager to join the Family Care Partnership program in Milwaukee and surrounding counties. You will perform home health visits, complete nursing assessments, and coordinate care to ensure members receive appropriate services.

The role requires an active Wisconsin RN license, at least 2 years of healthcare experience, and willingness to travel up to 50% across Milwaukee and nearby counties. A BSN is preferred and field/home-based work is expected.

Qualifications

• Must be a Registered Nurse licensed in the State of Wisconsin in good standing.
• Two years of related health care experience.

Responsibilities

• Complete the nursing portion of the comprehensive assessment and provide input to the member's care.
• Monitor wellness and health promotion activities based on the assessment.
• Re-evaluate health and wellness at appropriate intervals to manage ongoing issues.
• Perform routine health monitoring activities.
• Build constructive working relationships with members and their families and other staff.
• Provide assessment and interventions in crisis situations to ensure member safety.
• Evaluate ability to manage medications, care interventions, and access to services.
• Arrange for services and monitor effectiveness of interventions.
• Travel to locations within Milwaukee and surrounding counties.

Skills

Nursing

Case management

Home health

Field work

Education

Wisconsin RN license

BSN (preferred)

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 Milwaukee and surrounding counties.

Reporting to the Manager of Care Management Support, you will provide case management and support to adults in the community. You will conduct home and community visits to members to complete the nursing assessment and ensure members have appropriate care and access to services.

Responsibilities

• 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.
• Build constructive working relationships with members, their family members, and appropriate outside agency staff.
• In crisis situations, provides appropriate assessment of psychiatric, behavioral or medical problems and implements interventions together with other staff to take appropriate measures to ensure the safety of members.
• Evaluate members' ability to safely manage 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.
• Help with program and procedure development and assist with input for the QI/QA program.
• Travel to any location within Milwaukee and surrounding counties.
• Use your skills to make an impact

Required Qualifications

• Must be a Registered Nurse, licensed in the State of Wisconsin in good standing.
• Two (2) years of related health care experience.

Preferred Qualifications

• Bachelor of Science degree in Nursing (BSN).
• Previous home health, managed care or case management experience.
• General knowledge of Medicaid and Medicare benefits.

Additional Information

Workstyle: Field- Work remotely from your home and in the field visiting members.

Travel: up to 50% throughout Milwaukee and surrounding Counties.

Typical Work Days/Hours: Monday – Friday, 8:30 am – 5:00 pm Central Standard Time (CST).

Driving You will be part of Humana's driver safety program and therefore requires you to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.

Mileage reimbursement is provided for work-related travel. Eligible mileage includes:

• Travel from your home to your first work location of the day.
• Travel between client or assignment locations during the workday.
• Travel from your final work location back to your home.

TB Screening 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.

Work at Home Requirements

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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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 performance.

Description of Benefits

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 us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.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. Learn more about what we offer atHumana.comand atCenterWell.com.

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.