RN Care Manager- Sparta

Humana•Sparta, WI
•$71,100 - $97,800•Remote

About The Position

As an RN Care Manager, you will coordinate care, provide support and education, and help Wisconsin Family Care Program members navigate their care. You will support members in Sauk County, assessing their health and safety needs and developing comprehensive Member Care Plans. The role reports to the Manager of Care Coaching. This is a remote, work-from-home position with approximately 40% travel for in-person member visits. The position is based in Sparta, Wisconsin. Typical hours are Monday through Friday, 8:00 a.m. to 4:30 p.m. CST, with no nights or weekends. Occasional travel to Humana offices for training or meetings may be required. The position is patient-facing and requires TB screening. It also requires a valid state driver’s license and proof of personal vehicle liability insurance with minimum limits of 100/300/100. Mileage reimbursement is provided for eligible work-related travel. Home internet must provide at least 25 Mbps download and 10 Mbps upload speed, and employees must work from a dedicated space that protects member PHI/HIPAA information. The estimated starting base pay is $71,100–$97,800 per year for full-time employment. The position is eligible for a bonus incentive plan. Benefits include medical, dental and vision coverage, a 401(k) retirement savings plan, paid time off and holidays, paid parental and caregiver leave, short- and long-term disability, and life insurance.

Requirements

  • Associate degree in nursing.
  • Registered Nurse license 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 the work-at-home internet requirements: minimum 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 with a focus 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 about disease processes and related risks, nutrition, exercise, and lifestyle modifications while respecting their autonomy.
  • Document in member files within required DHS contract timeframes.
  • Participate in monthly phone contacts with members.
  • Travel to and attend in-person visits in members’ settings.

Benefits

  • Medical benefits.
  • Dental benefits.
  • Vision benefits.
  • 401(k) retirement savings plan.
  • Paid time off.
  • Company and personal holidays.
  • Paid parental and caregiver leave.
  • Short-term disability.
  • Long-term disability.
  • Life insurance.
  • Bonus incentive plan.
  • Mileage reimbursement for eligible work-related travel.
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