RN Care Manager- Dane/Columbia

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

Benefits offered by this job

Mileage reimbursement

Driver safety program

Job summary

Humana, Inc. is seeking an RN Care Manager in Wisconsin to coordinate care, provide support and education to Family Care members in Dane and Columbia counties. The role involves fieldwork, regular face-to-face assessments, and monthly calls, with travel up to 40% and mileage reimbursement.

You will partner with a care coach, lead health issue management, and ensure the plan of care is current. A WI RN license and an associate degree are required.

Qualifications

• Associate degree in nursing is required.
• Must be a Registered Nurse licensed in Wisconsin.
• Bachelor degree in nursing preferred.
• One+ years of Family Care experience preferred.
• Care management experience preferred.

Responsibilities

• Coordinate care and educate members in their plan of care.
• Perform face-to-face assessments and quarterly visits.
• Travel up to 40% and handle mileage reimbursement.
• Partner with care managers to support member health.
• Document activities and required paperwork.

Skills

Care coordination

Health assessments

Member education

Education

Associate degree in nursing

Bachelor degree in nursing

Job description

Become a part of our caring community

Great nursing careers should leave room for your life, too! As an RN Care Manager, you will enjoy no nights or weekends while making a meaningful difference for Wisconsin Family Care Program members in your community. Reporting to the Manager of Care Coaching, you will coordinate care, provide support and education, and help members navigate their care with confidence. You will support members in Dane and Columbia counties.

• Partner with a social services care manager (also referred to as a Care Coach) 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.

Use your skills to make an impact

Required Qualifications

• Associate degree in nursing.

• Must be a Registered Nurse, licensed in the state of Wisconsin.

Preferred Qualifications

• Bachelor degree in nursing.

• One+ 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: Dane/Columbia counties

• Travel: up to 40% throughout coverage area

• Typical Work Days/Hours: Monday through Friday, 8:00 am – 4:30 pm CST.

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.

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 Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity® which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum.

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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.