RN Care Manager- Eau Claire

IntelliResume; Eau Claire (WI); Hybrid; USD 71,000 - 98,000; Full time

Benefits offered by this job

Medical, dental, and vision benefits

401(k) plan

Paid time off

Parental and caregiver leave

Disability insurance

Life insurance

Sign-on bonus eligible

Job summary

Humana in Eau Claire, WI is hiring an RN Care Manager to support members enrolled in the Wisconsin Family Care Program. This full-time, Monday–Friday role offers a daytime schedule (8:00 am–4:30 pm CST) with no night or weekend shifts and up to 40% travel.

You will assess members, develop MCPs, conduct health assessments, coordinate with providers, educate on disease processes and lifestyle changes, document promptly, and support newly assigned RNs with follow-up.

Qualifications

• Education: Associate degree in nursing required
• Experience: 3 years Care Management experience preferred
• Licenses & Certifications: Licensed Registered Nurse in the state of Wisconsin (in good standing)

Responsibilities

• Assess members to develop a comprehensive Member Care Plan (MCP)
• Conduct regular health assessments
• Coordinate with acute and primary care providers
• Educate members on disease processes, nutrition, and lifestyle modifications
• Document in member files within required DHS contract timeframes
• Participate in member monthly phone contacts and travel for in-person visits
• Complete record reviews for reassigned members
• Provide support regarding record review and remediation
• Ensure newly assigned RNs are informed of any missing or needed follow-up
• Accept additional complex member assignments

Skills

Care coordination

Patient education

Documentation

Education

Associate degree in nursing

Job description

About This Role

As a RN Care Manager, you will support members enrolled in the Wisconsin Family Care Program by providing essential care coordination, support, and education. This role is ideal for those seeking a work-life balance with no night or weekend shifts.

Highlights

• Location: Eau Claire, WI
• Schedule: Full-time, Monday through Friday, 8:00 am – 4:30 pm CST
• Travel: Up to 40% travel required
• Pay: $71,100 - $97,800 per year
• Sign-On Bonus: Eligible for a bonus incentive plan

What You'll Do

• Assess members to develop a comprehensive Member Care Plan (MCP)
• Conduct regular health assessments
• Coordinate with acute and primary care providers
• Educate members on disease processes, nutrition, and lifestyle modifications
• Document in member files within required DHS contract timeframes
• Participate in member monthly phone contacts and travel for in-person visits
• Complete record reviews for reassigned members
• Provide support regarding record review and remediation
• Ensure newly assigned RNs are informed of any missing or needed follow-up
• Accept additional complex member assignments

Requirements

Education:

• Associate degree in nursing required

Experience:

• 3 years Care Management experience preferred

Licenses & Certifications:

• Licensed Registered Nurse in the state of Wisconsin (in good standing)

Benefits

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Paid time off, including company and personal holidays
• Paid parental and caregiver leave
• Short-term and long-term disability
• Life insurance

About Humana

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through their insurance services and healthcare services, they make it easier for millions to achieve their best health, delivering the care and service needed when required.