FCP RN Care Manager- Baraboo

Humana Inc.•Wautoma, WI

58d•Remote

About The Position

Humana/iCare is seeking a Nurse Care Manager to join the growing team in Dane, Sauk, Adams, Columbia, Dodge, Green Lake, Iowa, Jefferson, Marquette, Rock and Waushara counties for the Family Care Partnership (FCP) program. The FCP Nurse Care Manager provides case management and support to adults in the community, assures quality services are provided which are cost effective and monitors the health and safety of members. Share your talents and develop your skills all while doing your part to improve the lives of others. The FCP Nurse Care Manager works within an Interdisciplinary Team (IDT) setting to help manage and support members that are enrolled in the Family Care Partnership program. This role conducts home and community visits to members to complete the nursing assessment and assures members have appropriate care and access to services.

Requirements

Must be a Registered Nurse, licensed in the State of Wisconsin.
Two (2) years of related health care experience.
Must be able to travel to any location within Dane, Adams, Columbia, Dodge, Green Lake, Iowa, Jefferson, Marquette, Rock and Waushara counties.
Proven ability to learn new software applications.

Nice To Haves

Bachelor's degree in nursing (BSN).
Previous home health, managed care or case management experience.
Previous experience working with persons with disabilities and/or older adults in a health care setting.
Case Manager Certification.
General knowledge of Medicaid and Medicare benefits.

Responsibilities

Complete the nursing portion of the comprehensive assessment and provide input to the members care accordingly.
Establish and 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.
Builds 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 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.
Take appropriate measures to prevent the spread of infection and communicable diseases and instruct the member and/or caregiver in these measures.
Ensure that the member's physician or appropriate medical professional is notified when the member has an acute change in condition.
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 in problem resolution between members and providers.
Occasionally assists in conducting presentations to outside agencies and organizations.
Assists with program, policy, and procedure development and assists with input for the QI/QA program.