RN Field Case Manager
Company: Humana
Location: Monroe
Posted on: May 3, 2024
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Job Description:
Humana is seeking an RN Care Manager (Health & Wellness
Coordinator) to join the Inclusa team to serve members in the
Wisconsin Family Care (FC) program. As a Health & Wellness
Coordinator (HWC) you will be responsible for partnering with your
fellow colleagues to provide top quality coordination of care to
our members. They are looking to you in providing assistance when
it comes to living their daily lives. The HWC is responsible for
facilitating the coordination, communication, negotiation, and
collaboration of streamlined healthcare delivery processes on
behalf of the member.* Partner with a social services care manager
(also referred to as a Community Resource Coordinator) and
collaborate on an ongoing basis regarding the member and their
plan.* Perform face-to-face health-related assessments for members
upon enrollment and at least every six (6) months thereafter in the
members setting.* Coordinate, perform, and track quarterly
face-to-face visits and monthly phone contacts.* Participate in the
development and ongoing review and coordination of the members plan
of care.* Take the lead on all health issues for the member.*
Contact and coordinate with acute and primary care providers.*
Identify and coordinate clinical and functional supports needed for
the members health and safety.* Educate on and promote prevention
and wellness and mitigate risk when assessed.* Document activity
and complete paperwork as required.* Traveling will be required and
eligible for mileage reimbursement.*Use your skills to make an
impact**Required Qualifications** Associate degree in nursing.*
Must be a Registered Nurse, licensed in the state of
Wisconsin.*Preferred Qualifications** Bachelors degree in nursing.*
One (1)+ years of experience with Family Care target group: frail
elders and adults with intellectual, developmental, or physical
disabilities.* Registered Nurse, licensed in the state of
Minnesota.* Care Management experience.*Additional Information**
*Workstyle: *This is a field position where employees perform their
core duties at non-company locations, such as providing services at
business partner facilities or prospects' and members' homes.*
*Work Location: *Monroe, Wisconsin and surrounding area.* *Travel:
*up to 40% throughout Green and Lafayette Counties in WI and
surrounding area.* *Typical Work Days/Hours: *Monday through
Friday, 8:00 am 4:30 pm CST.*WAH Internet Statement*To ensure Home
or Hybrid Home/Office employees ability to work effectively, the
self-provided internet service of Home or Hybrid Home/Office
employees must meet the following criteria:* At minimum, a download
speed of 25 Mbps and an upload speed of 10 Mbps is recommended;
wireless, wired cable or DSL connection is suggested.* Satellite,
cellular and microwave connection can be used only if approved by
leadership.* Employees who live and work from Home in the state of
California, Illinois, Montana, or South Dakota will be provided a
bi-weekly payment for their internet expense.* Humana will provide
Home or Hybrid Home/Office employees with telephone equipment
appropriate to meet the business requirements for their
position/job.* Work from a dedicated space lacking ongoing
interruptions to protect member PHI / HIPAA
information.*Driving*This role is part of Humana's driver safety
program and therefore requires an individual to have a valid state
driver's license and proof of personal vehicle liability insurance
with at least 100/300/100 limits.*TB*This role is considered
patient facing and is part of Humanas Tuberculosis (TB) screening
program. If selected for this role, you will be required to be
screened for TB.*Benefits*Humana offers a variety of benefits to
promote the best health and well-being of our employees and their
families. We design competitive and flexible packages to give our
employees a sense of financial securityboth today and in the
future, including:* Health benefits effective day 1* Paid time off,
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 opportunitiesJob Type: Full-timePay: $33.00 -
$34.50 per hourBenefits:* 401(k)* 401(k) matching* Dental
insurance* Disability insurance* Employee assistance program*
Employee discount* Health insurance* Health savings account* Life
insurance* Mileage reimbursement* Paid sick time* Paid time off*
Parental leave* Tuition reimbursement* Vision insurance* Wellness
programSchedule:* 8 hour shift* Monday to FridayExperience:*
Nursing as an RN: 1 year (Required)License/Certification:* RN
license in the state of Wisconsin (Required)Ability to Commute:*
Monroe, WI (Required)Willingness to travel:* 50% (Required)Work
Location: On the roadby Jobble
Keywords: Humana, Janesville , RN Field Case Manager, Healthcare , Monroe, Wisconsin
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