RN Care Manager

🕒 Setembro 2

🧀 Wisconsin – Remoto

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💵 $71.100 - $97.800 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

🦅 Patrocina Visto H1B

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👻 Score fantasma 4%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Humana

Humana

10.000+ funcionários

Fundada em 1961

🏥 Saúde

🛡️ Seguros

⚕️ Seguro de Saúde

Healthcare • Insurance • Healthcare Insurance

A Humana é uma empresa de saúde dedicada a gerar um impacto positivo na saúde de indivíduos, comunidades e do sistema de saúde como um todo. Com foco em colocar a saúde em primeiro lugar, a Humana atende a uma ampla e diversa gama de populações, incluindo idosos e militares, oferecendo planos Medicare Advantage (HMO, PPO e PFFS). A Humana está comprometida em promover uma cultura de pertencimento e respeito mútuo, oferecendo benefícios competitivos e flexíveis para garantir a segurança financeira de seus funcionários e de suas famílias. A empresa se orgulha de criar um ambiente de trabalho inclusivo, no qual todos têm a oportunidade de ter sucesso.

Descrição

• 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 on disease processes, related risks, nutrition, exercise, and lifestyle modifications • Document in member files within required DHS contract timeframes • Participate in monthly member phone contacts • Travel to attend in-person visits in members' settings • Complete record reviews for reassigned members and identify needed record remediation • Support the team with record review and remediation • Complete remediation documentation • Inform newly assigned RNs and Care Coach partners of missing or needed follow-up • Assign tasks in the D365 system • Accept additional complex member assignments • Provide support with new member assignments • Report to the Manager of Care Coaching • Support members enrolled in the Wisconsin Family Care Program through care coordination, support, and education

🎯 Requisitos

• Associate degree in nursing • Licensed Registered Nurse in the state of Wisconsin, in good standing • 3 years Care Management experience preferred • Reside within 45 mins or less of the assigned coverage area preferred • Previous Care Management experience preferred • Valid state driver's license • Proof of personal vehicle liability insurance with at least 100/300/100 limits • Required to undergo TB screening if selected • Home internet with minimum download speed of 25 Mbps and upload speed of 10 Mbps • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information • Ability to work Monday through Friday, 8:00 am–4:30 pm CST • Willingness and ability to travel approximately 40% of the time

🏖️ Benefícios

• No night or weekend shifts • Bonus incentive plan based on company and/or individual performance • 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 • Personal wellness and smart healthcare decision support • Remote work from home • Occasional travel to Humana offices for training or meetings

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