Registered Nurse Care Manager

Job Description:

  • Assess members' health and safety needs to develop comprehensive Member Care Plans
  • Conduct regular health assessments
  • Coordinate with acute and primary care providers
  • Educate members about disease processes, risks, nutrition, exercise, and lifestyle modifications
  • Document in member files within required DHS contract timeframes
  • Participate in monthly member phone contacts and travel for in-person visits
  • Work from home and travel approximately 40% of the time to visit members
  • Complete record reviews for reassigned members and identify record remediation needs
  • Complete documentation for evident remediation updates
  • Inform newly assigned RNs and Care Coach partners about missed or needed follow-up
  • Assign tasks in the D365 system as needed
  • Provide support for record review and remediation
  • Support the team through process changes
  • Accept additional complex member assignments
  • Support new member assignments
  • Inform managers of significant risks or concerns identified during record reviews

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
  • Ability to work remotely from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information
  • Home internet with at least 25 Mbps download and 10 Mbps upload speeds
  • Patient-facing role requiring TB screening if selected
  • 1 year of Care Management experience preferred
  • Reside within 45 minutes or less of the assigned coverage area preferred

Benefits:

  • No night or weekend shifts
  • Mileage reimbursement for work-related travel
  • Medical, dental, and vision benefits
  • 401(k) retirement savings plan
  • Paid time off
  • Company and personal holidays
  • Paid parental and caregiver leave
  • Short-term and long-term disability
  • Life insurance
  • Bonus incentive plan based on company and/or individual performance
  • Self-provided home internet/work-from-home arrangement
  • Occasional travel to Humana offices for training or meetings
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