RN Care Manager- Iowa/Grant

Humana • Dodgeville, WI

1d • Remote

About The Position

Become a part of our caring community and help us put health first 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. Key Responsibilities: Partner with a social services care manager (also referred to as a Community Resource Coordinator) 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. Use your skills to make an impact

Requirements

• Associate degree in nursing.
• Must be a Registered Nurse, licensed in the state of Wisconsin.
• This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
• This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Nice To Haves

• Bachelor’s 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 Community Resource Coordinator) 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.

Benefits

• Humana provides medical, dental and 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 and long-term disability, life insurance and many other opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees