Humana Rn Case Manager
Become a part of our caring community and help us put health first. Enjoy a rewarding career with a true work/life balanceno nights or weekends, giving you more time for what matters most. Humana is currently seeking an RN Case Manager to join our team, serving members in the Wisconsin Family Care (FC) program. In this vital role, you will collaborate with dedicated colleagues to ensure exceptional care coordination for our members, providing crucial support and education to help them thrive in their daily lives. Take the next step in your nursing career and make a meaningful difference with Humana.
Key responsibilities:
- Partner with a Care Coach (also referred to as a Case Manager), taking the lead on health-related needs, to collaborate on an ongoing basis regarding the member and their care plan.
- Conduct regular health assessments for members and implement appropriate strategies and services to develop individualized care plans that support their continued health and safety.
- Contribute to the creation, continuous evaluation, and coordination of the member's plan of care, including coordinating with outside providers to provide support with medication administration, assistance with home care, skilled nursing visits, and related services to ensure comprehensive care.
- Contact and coordinate with acute and primary care providers.
- Promote health and wellness through patient education on disease prevention, nutrition, exercise and lifestyle modifications.
- Provide members with education and information about disease processes and related risks, supporting informed decision-making while respecting each individual's autonomy.
- Daily documentation in member files within required DHS contract timeframes.
- Participate in member monthly phone contacts and attend in person visits in members setting.
- Traveling will be required and eligible for mileage reimbursement.
Required Qualifications:
- Associate degree in nursing.
- Must be a Registered Nurse, licensed in the state of Wisconsin in good standing.
- Demonstrated intermediate computer proficiency, including experience with Microsoft Office applications.
Preferred Qualifications:
- Bachelor degree in nursing.
- One (1)+ 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: Washburn County and surrounding area.
- Travel: up to 40% throughout Washburn County and surrounding area.
- Typical Work Days/Hours: Monday through Friday, 8:00 am 4:30 pm CST.
Benefits:
- Health benefits effective day 1
- Paid time off, holidays, volunteer time and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
Modern Hire
As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
SSN Alert
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.
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.