RN Care Manager- Sparta

Humana•Sparta, WI

11d•Remote

About The Position

The RN Care Manager coordinates care and provides support and education to Wisconsin Family Care Program members, helping them navigate their care. The position supports members in Sauk County and reports to the Manager of Care Coaching. The role is remote from the employee’s home, with travel approximately 40% of the time for member visits and occasional travel to Humana offices for training or meetings. Typical workdays are Monday through Friday, 8:00 a.m. to 4:30 p.m. CST, with no nights or weekends. The care manager assesses members’ health and safety needs, develops Member Care Plans, conducts regular health assessments, coordinates with acute and primary care providers, and educates members about disease processes, risks, nutrition, exercise, and lifestyle modifications. The position also includes documenting in member files within required DHS contract timeframes and participating in monthly phone contacts and in-person visits. Mileage reimbursement is provided for eligible work-related travel. This is a patient-facing role subject to Humana’s TB screening program. Employees must meet stated home internet requirements and work from a dedicated space that protects member PHI/HIPAA information. The role requires a valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits.

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.
Meet home internet requirements: at least 25 Mbps download and 10 Mbps upload.
Work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information.
Complete TB screening if selected for the role.

Nice To Haves

One year of Care Management experience.
Reside within 45 minutes or less of the assigned coverage area.
Previous Care Management experience.

Responsibilities

Assess members, focusing on health and safety needs, and 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 while respecting each person’s autonomy.
Document in member files within required DHS contract timeframes.
Participate in monthly member phone contacts and travel to in-person visits in members’ settings.