RN Care Manager- Adams, Green Lake, Marquette, and Waushara Counties

Humana • Montello, WI

370d • $71,100 - $97,800 • Hybrid

About The Position

Humana is seeking an RN Care Manager (Health & Wellness Coordinator) to join the Inclusa team to serve members in the Wisconsin Family Care (FC) program. As a Health & Wellness Coordinator (HWC) you will be responsible for partnering with your fellow colleagues to provide top quality coordination of care to our members. They are looking to you in providing assistance when it comes to living their daily lives. The HWC is responsible for facilitating the coordination, communication, negotiation, and collaboration of streamlined healthcare delivery processes on behalf of the member.

Requirements

• Associate degree in nursing.
• Must be a Registered Nurse, licensed in the state of Wisconsin.

Nice To Haves

• 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.

Responsibilities

• Partner with a social services care manager (also referred to as a Care Coach) and collaborate on an ongoing basis regarding the member and their plan.
• Perform face-to-face health-related assessments for members upon enrollment and at least every six (6) months thereafter in the member's setting.
• Coordinate, perform, and track quarterly face-to-face visits and monthly phone contacts.
• Participate in the development and ongoing review and coordination of the member's plan of care.
• Take the lead on all health issues for the member.
• Contact and coordinate with acute and primary care providers.
• Identify and coordinate clinical and functional supports needed for the member's health and safety.
• Educate on and promote prevention and wellness and mitigate risk when assessed.
• Document activity and complete paperwork as required.
• Traveling will be required and eligible for mileage reimbursement.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees