RN Care Manager- Eau Claire

Humana • Eau Claire, WI

1d • Remote

About The Position

The RN Care Manager supports members enrolled in the Wisconsin Family Care Program by providing care coordination, support, and education. The role reports to the Manager of Care Coaching and focuses on helping members live their best lives while respecting each person's autonomy. The position is remote from the employee’s home, with travel of approximately 40% to visit members in their settings and occasional travel to Humana offices for training or meetings. Typical hours are Monday through Friday, 8:00 a.m. to 4:30 p.m. Central Time, with no night or weekend shifts.

The role requires an associate degree in nursing and an active Wisconsin Registered Nurse license in good standing. Candidates must have a valid state driver's license and personal vehicle liability insurance with limits of at least 100/300/100. Work-related mileage is reimbursed. As a patient-facing role, it is subject to Humana’s TB screening program. Home-based employees must have internet service with at least 25 Mbps download and 10 Mbps upload speeds and a dedicated workspace that protects member PHI and HIPAA information. The stated annual base pay range is $71,100–$97,800, and the role is eligible for a bonus incentive plan.

Requirements

• Associate degree in nursing.
• Licensed Registered Nurse in the state of Wisconsin, in good standing.
• Valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
• Home internet service with at least 25 Mbps download and 10 Mbps upload speeds.
• A dedicated workspace without ongoing interruptions to protect member PHI and HIPAA information.
• Ability to travel to member visits, with travel of up to approximately 40%.

Nice To Haves

• Three years of Care Management experience.
• Residence within 45 minutes or less of the assigned coverage area.
• Previous Care Management experience.

Responsibilities

• Assess members’ 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 about disease processes and related risks, nutrition, exercise, and lifestyle modifications to support informed decision-making while respecting autonomy.
• Document in member files within required DHS contract timeframes.
• Participate in monthly member phone contacts and travel to attend in-person visits in members’ settings.
• Review records for reassigned members and identify areas where record remediation is needed.
• Provide support regarding record review and remediation, and complete remediation documentation.
• Support the team as it adapts to and navigates changes.
• Ensure newly assigned RNs and their Care Coach partners are informed of missing information or needed follow-up, including assigning tasks in the D365 system.
• Accept additional complex member assignments and provide additional support with new member assignments.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, company holidays, and personal holidays.
• Paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance.
• Bonus incentive plan.
• Mileage reimbursement for work-related travel.
• Other benefit opportunities supporting personal wellness and healthcare decisions.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree