RN Care Manager

🔥 15 minutes ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $71.1k - $97.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 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 case management and support to adults in the community • Assure quality, cost-effective services while monitoring members' health and safety • Work as part of an Interdisciplinary Team to manage members enrolled in the Family Care Partnership program • Conduct home and community visits to complete nursing assessments and ensure appropriate care and service access • Complete the nursing portion of comprehensive assessments and provide care input • Monitor wellness and health promotion activities based on assessments and identified outcomes • Re-evaluate members' health and wellness and manage ongoing health issues • Perform routine health monitoring activities • Build working relationships with members, families and outside agency staff • Assess psychiatric, behavioral or medical problems during crises and implement interventions • Evaluate members' ability to manage medications, medical care, treatments, equipment and health care access • Provide or arrange services, supports or medical care and monitor intervention effectiveness • Assist with program, policy and procedure development and QI/QA activities

🎯 Requirements

• Must be a Registered Nurse, licensed in the State of Wisconsin • Two (2) years of related health care experience • Must be able to travel to any location within Racine, Kenosha, Waukesha, Washington, Ozaukee, Walworth and Sheboygan counties • Valid state driver's license • Proof of personal vehicle liability insurance with at least 100/300/100 limits • Must complete tuberculosis (TB) screening if selected • Preferred: Bachelor of Science degree in Nursing (BSN) • Preferred: Previous home health, managed care or case management experience • Preferred: Previous experience working with persons with physical, intellectual/developmental disabilities, or older adults in a health care setting • Preferred: Case Manager Certification • Preferred: General knowledge of Medicaid and Medicare benefits

🏖️ 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 • Work-from-home or hybrid home/office arrangements with dedicated workspace and internet requirements • Occasional travel to Humana offices for training or meetings

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