Registered Nurse Care Manager

🔥 13 hours ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $71.1k - $97.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 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 on 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 member visits • Work from home and travel approximately 40% to visit members • Complete record reviews for reassigned members and identify needed remediation • Complete documentation for evident remediation updates • Inform newly assigned RNs and Care Coach partners of 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 • Provide additional support with 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) • Preferred: 1 year Care Management experience • Preferred: Reside within 45 mins or less of the assigned coverage area • 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 • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Dedicated workspace without ongoing interruptions to protect member PHI / HIPAA information

🏖️ Benefits

• No night or weekend shifts • Bonus incentive plan based upon company and/or individual performance • 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 • Mileage reimbursement for work-related travel • Home-based work arrangement • Occasional travel to Humana offices for training or meetings