RN Case Manager - Sparta - Humana

    Humana
    Humana Sparta

    4 days ago

    Description
    Become a part of our caring community and help us put health first

    Enjoy a rewarding career with a true work/life balance—no nights or weekends, giving you more time for what matters most.

    Humana is currently seeking an RN Case Manager to join our team, serving members in the Wisconsin Family Care (FC) program.

    In this vital role, you will collaborate with dedicated colleagues to ensure exceptional care coordination for our members, providing crucial support and education to help them thrive in their daily lives.

    Take the next step in your nursing career and make a meaningful difference with Humana


    Key responsibilities:
    Partner with a Care Coach (also referred to as a

    Case Manager)

    , taking the lead on health-related needs,

    to

    collaborate on an ongoing basis

    regarding

    the member and their

    care

    plan.

    Conduct regular health assessments for members and implement

    appropriate strategies

    and services to develop individualized care plans that support their continued health and safety.

    Contribute to the creation, continuous evaluation, and coordination of the member's plan of care, including

    coordinating with outside provide

    r

    s to provide

    support with medication administration,

    assistance

    with home care, skilled nursing visits, and related services to ensure comprehensive care.

    Contact and coordinate with acute and primary care providers.

    Promote health and wellness through patient education on disease prevention, nutrition,

    exercise

    and lifestyle modifications.

    Provide members with

    education and

    information about disease processes and related risks, supporting informed decision-making while respecting

    each individual's

    autonomy.

    Daily d

    ocument

    ation

    in member

    files

    within required

    DHS contract

    timeframes

    .

    Participate in member monthly phone contacts and attend in person visits in members setting.

    Traveling will be

    required

    and eligible for mileage reimbursement.

    Use your skills to make an impact
    Required Qualifications
    Associate degree in nursing.

    Must be a Registered Nurse, licensed in the state of Wisconsin

    in good standing

    .

    Demonstrated intermediate computer

    proficiency

    , including experience with Microsoft Office applications.

    Preferred Qualifications
    Bachelor 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.

    Additional Information

    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.


    Work Location:
    Monroe County

    and surrounding area.


    Travel:
    up to 40% throughout

    Monroe

    County and surrounding area

    Typical

    Work Days

    /Hours:

    Monday through Friday, 8:00 am – 4:30 pm CST.

    WAH Internet Statement
    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:

    At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

    Satellite, cellular and microwave connection can be used only if approved by leadership.


    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.

    Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

    Driving

    This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.

    TB
    This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

    HireVue

    As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability.

    HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

    SSN Alert
    Humana values personal identity protection.

    Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file.

    When required, an email will be sent from with instructions on how to add the information into your official application on Humana's secure website.


    Travel:
    While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
    Scheduled Weekly Hours

    40
    Pay Range

    The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting.

    The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

    $71,100 - $97,800 per year

    This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
    Description of Benefits
    Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being.

    Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.

    Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

    About us

    About Inclusa:

    Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin.

    As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity which focuses on the belief in everyone, and from that belief, the common good for all is achieved.

    In 2022, Inclusa was acquired by Humana.

    This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum.


    About Humana:
    Humana Inc

    (NYSE:

    HUM) is committed to putting health first – for our teammates, our customers, and our company.

    Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

    These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


    Equal Opportunity Employer


    It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.

    It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.

    This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.


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