Registered Nurse Care Manager- Marshfield

HumanaMarshfield, WI
Remote

About The Position

As a RN Care Manager, you will be an integral part of a caring community, enjoying a true work-life balance with no night or weekend shifts. Reporting to the Manager of Care Coaching, your primary role will be to support members enrolled in the Wisconsin Family Care Program by providing essential care coordination, support, and education. This position offers a unique opportunity to make a significant difference in the lives of those you serve and within your local community. The role is primarily remote, allowing you to work from your home, but requires approximately 40% travel to conduct in-person visits with your members. Inclusa, which manages person-centered and community-focused long-term care services for Family Care members across Wisconsin, was acquired by Humana in 2022. This partnership aims to create an industry-leading model of care that provides comprehensive support across the healthcare continuum. Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company, dedicated to making it easier for millions of people to achieve their best health through its insurance and CenterWell healthcare services. These efforts are focused on improving the quality of life for individuals with Medicare and Medicaid, families, military service personnel, and communities at large.

Requirements

  • Associate degree in nursing
  • Licensed Registered Nurse in the state of Wisconsin (in good standing)
  • Valid state driver's license
  • Proof of personal vehicle liability insurance with at least 100/300/100 limits
  • Self-provided internet service with at minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

  • Reside within 45 mins or less of the assigned coverage area
  • Previous Care Management experience

Responsibilities

  • Assess members, focusing on health and safety needs, to develop a comprehensive Member Care Plan (MCP).
  • Conduct regular health assessments.
  • Coordinate with acute and primary care providers.
  • Educate members on disease processes and related risks, nutrition, exercise and lifestyle modifications to support informed decision-making while respecting each person's autonomy.
  • Document in member files within required DHS contract timeframes.
  • Participate in member monthly phone contacts and travel to attend in person visits in members setting.
  • Work remotely from your home and travel approximately 40% of the time to visit your members.

Benefits

  • Medical benefits
  • Dental benefits
  • Vision benefits
  • 401(k) retirement savings plan
  • Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • Short-term disability
  • Long-term disability
  • Life insurance
  • Bonus incentive plan
  • Mileage reimbursement is provided for work-related travel
  • Bi-weekly payment for internet expense (for employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota)
  • Telephone equipment appropriate to meet the business requirements for their position/job

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Associate degree

Number of Employees

5,001-10,000 employees

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