RN Care Manager- Dane/Columbia

Humana•Madison, WI

5d•Remote

About The Position

The RN Care Manager coordinates care and provides support and education to Wisconsin Family Care Program members in Dane and Columbia counties, helping members navigate their care. The position partners with a social services care manager, also called a Care Coach, and collaborates on the member and their plan on an ongoing basis. The role reports to the Manager of Care Coaching. This is a field position: core duties are performed at non-company locations, including business partner facilities and members’ homes. Travel is required, up to 40% throughout the coverage area, and mileage is eligible for reimbursement. The posting also describes the position as remote and notes that occasional travel to Humana offices for training or meetings may be required. Typical hours are Monday through Friday, 8:00 a.m. to 4:30 p.m. CST, with no nights or weekends. The role is patient-facing and requires TB screening. It is subject to Humana’s driver safety program, requiring a valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits. Employees working from home must have a dedicated space without ongoing interruptions to protect member PHI/HIPAA information. Self-provided home internet must offer at least 25 Mbps download and 10 Mbps upload; Humana may require an upgrade if needed. Telephone equipment appropriate to the job’s business requirements is provided.

Requirements

Associate degree in nursing.
Active Registered Nurse license in the state of Wisconsin.
Valid state driver’s license.
Proof of personal vehicle liability insurance with at least 100/300/100 limits.
Ability to meet the home-internet requirements if working from home: at least 25 Mbps download and 10 Mbps upload.
Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information.
TB screening is required if selected for this patient-facing role.

Nice To Haves

Bachelor’s degree in nursing.
One or more years of experience with the 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 (Care Coach) and collaborate on an ongoing basis regarding the member and their plan.
Perform face-to-face health-related assessments upon member enrollment and at least every six months thereafter in the member’s setting.
Coordinate, perform, and track quarterly face-to-face visits and monthly phone contacts.
Participate in developing, reviewing, and coordinating the member’s plan of care.
Take the lead on the member’s health issues.
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 members on and promote prevention and wellness, and mitigate assessed risks.
Document activity and complete required paperwork.

Benefits

Health benefits effective day one, including medical, dental, and vision benefits.
Paid time off and 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.
Short-term and long-term disability insurance.
Life insurance.
Bonus incentive plan based on company and/or individual performance.