RN Care Manager

🔥 48 minutes ago

🧀 Wisconsin – Remote

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💵 $71.1k - $97.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Logo of Humana

Humana

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 and evaluate members' needs and requirements to achieve or maintain optimal wellness • Guide members and families toward appropriate care and wellbeing resources • Facilitate interaction with community and healthcare resources • Manage members' physical, environmental, and psychosocial health issues using varied strategies and techniques • Identify and resolve barriers to effective care • Monitor patient care through ongoing assessments and evaluations • Ensure patients progress toward desired outcomes • Create member care plans when needed • Interpret guidelines and independently determine appropriate courses of action • Make decisions regarding work methods in ambiguous situations with minimal direction • Follow established guidelines and procedures

🎯 Requirements

• Registered Nurse with 2 years of experience in in-home case/care management • Experience working with the adult population • Knowledge of community health and social service agencies and additional community resources • Ability to travel to members' residences within 30 to 40 miles • Exceptional communication and interpersonal skills with ability to quickly build rapport • Ability to work with minimal supervision within the role and scope • Ability to use electronic information applications/software programs, including electronic medical records • Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel • Excellent keyboard and web navigation skills • Ability to work a full-time, 40-hours-minimum flexible work schedule • Valid state driver's license • Personal vehicle liability insurance meeting state minimums or specified higher limits • Valid driver's license, car insurance, and access to an automobile • Separate room with a locked door usable as a home office for continuous privacy • Access to high-speed DSL or cable modem; satellite internet service is not allowed • Required TB screening for this patient-facing role • Passion for continuously improving consumer experiences • BSN preferred • 3–5 years of in-home assessment and care coordination experience preferred • Experience with health promotion, coaching, and wellness preferred • Previous managed care experience preferred • Bilingual English and Spanish preferred • Certification in Case Management preferred • Motivational Interviewing Certification and/or knowledge preferred

🏖️ Benefits

• 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 • Flexible work schedule • Remote work arrangement • Home office requirements and high-speed internet support criteria • Occasional travel to Humana offices for training or meetings

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