Registered Nurse Care Manager

Humana•Waukesha, WI

1d•Hybrid

About The Position

As a RN Care Manager, you will enjoy a true work-life balance with no night or weekend shifts. Reporting to the Manager of Care Coaching, you will support members enrolled in the Wisconsin Family Care Program providing essential care coordination, support, and education. You will make a difference in the lives of those you serve and within your own community. 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. 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.

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 (wireless, wired cable or DSL connection is suggested)
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