Field Case Manager - Monroe, Adams County, WI, United States - Humana

Humana Monroe, Adams County, WI, United States

3 weeks ago

Full time

Description

Humana is seeking an RN Care Manager (Health & Wellness Coordinator) to join the Inclusa team to serve members in the Wisconsin Family Care (FC) program.

As a Health & Wellness Coordinator (HWC) you will be responsible for partnering with your fellow colleagues to provide top quality coordination of care to our members.

They are looking to you in providing assistance when it comes to living their daily lives.

The HWC is responsible for facilitating the coordination, communication, negotiation, and collaboration of streamlined healthcare delivery processes on behalf of the member.

Partner with a social services care manager (also referred to as a Community Resource Coordinator) and collaborate on an ongoing basis regarding the member and their plan.
Perform face-to-face health-related assessments for members upon enrollment and at least every six (6) months thereafter in the member's setting.
Coordinate, perform, and track quarterly face-to-face visits and monthly phone contacts.
Participate in the development and ongoing review and coordination of the member's plan of care.
Take the lead on all health issues for the member.
Contact and coordinate with acute and primary care providers.
Identify and coordinate clinical and functional supports needed for the member's health and safety.
Educate on and promote prevention and wellness and mitigate risk when assessed.
Document activity and complete paperwork as required.
Traveling will be required and eligible for mileage reimbursement.

*Associate degree in nursing.

Bachelor's degree in nursing.
One (1)+ years of experience with Family Care target group: frail elders and adults with intellectual, developmental, or physical disabilities.
Care Management experience.

*Workstyle: *This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.
* *Travel: *up to 40% throughout Green and Lafayette Counties in WI and surrounding area.
* *Typical Work Days/Hours: *Monday through Friday, 8:00 am – 4:30 pm CST.
*To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
* wireless, wired cable or DSL connection is suggested.

Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families.

We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Network Resource Groups (NRGs)
Job Type: Full-time

50 per hour
Dental insurance

Disability insurance
Employee assistance program
Health insurance
Health savings account
Mileage reimbursement
Tuition reimbursement
8 hour shift
Monday to Friday

Nursing as an RN: 1 year (Required)

Willingness to travel:
*

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