RN Care Manager – Lead

🔥 13 hours ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $71.1k - $97.8k / year

⏰ Full Time

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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

• Provide lead care management services through the Family Care Partnership program • Mentor FCP nurses and care coaches • Arrange field shadowing and applications for new care managers and nurses during orientation • Communicate employee participation and progress in mentoring activities to managers • Educate and coach staff on care management, RN roles, interdisciplinary teamwork, and contractual compliance • Provide ongoing training on the Family Care model and supplementary best practices • Identify, coordinate, implement, and evaluate external training • Conduct nursing assessments during initial comprehensive assessments and reassessments • Use Resource Allocation Decision-making methodology • Coordinate and monitor services and resources supporting member outcomes • Conduct RN reassessments, update care plans, and monitor member health and safety • Help members and families access medical, social, rehabilitation, vocational, educational, and other services • Assist members or representatives with complaints, grievances, and advocacy services • Collaborate with the Interdisciplinary Team to address complex medical, psychiatric, behavioral health, and social needs

🎯 Requirements

• Registered Nurse licensed in the State of Wisconsin and in good standing • 2 years of Managed Care experience • Must reside within a commutable distance of the Family Care Partnership service area in Southeast Wisconsin • Ability to travel approximately 20% throughout Kenosha, Racine, Milwaukee, Waukesha, Walworth, Washington, and Sheboygan • Valid state driver's license • Proof of personal vehicle liability insurance with at least 100/300/100 limits • Patient-facing role requiring TB screening • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Ability to work from a dedicated space protecting member PHI/HIPAA information • Preferred: bilingual English and Spanish skills • Preferred: training or mentoring experience • Preferred: knowledge of community health and social service agencies and community resources

🏖️ Benefits

• Bonus incentive plan based on 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 • Occasional travel to Humana offices for training or meetings • Dedicated-space home working arrangement • Self-provided internet requirements for home or hybrid work