RN Case Manager

1 week ago


Portage, Wisconsin, United States Humana Full time
About the Role

We are seeking a highly skilled and compassionate RN Case Manager to join our team at Humana. As a Field Care Manager Nurse, you will play a critical role in assessing and evaluating members' needs, guiding them towards optimal wellness, and facilitating interaction with resources to ensure their care and well-being.

Key Responsibilities
  • Assess and evaluate members' needs and requirements to achieve and/or maintain optimal wellness state
  • Guide members/families toward and facilitate interaction with resources appropriate for the care and well-being of members
  • Employ a variety of strategies, approaches, and techniques to manage members' physical, environmental, and psycho-social health issues
  • Identify and resolve barriers that hinder effective care
  • Ensure patients are progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations
  • May create member care plans
Requirements
  • Registered Nurse in Wisconsin with 2 years of experience 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 the ability to quickly build rapport
  • Ability to work with minimal supervision within the role and scope
  • Ability to use a variety of 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
  • Must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while working
  • Valid driver's license, car insurance, and access to an automobile
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
  • BSN
  • 3-5 years of in-home assessment and care coordination experience
  • Experience with health promotion, coaching, and wellness
  • Previous managed care experience
  • Bilingual - English, Spanish
  • Certification in Case Management
  • Motivational Interviewing Certification and/or knowledge
Work Environment

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 will be performed in Columbia County, Wisconsin, and surrounding areas, with up to 40% travel throughout the region.

Typical work days/hours are Monday - Friday, 8:00 am - 4:30 pm CST.

Benefits
  • 401(k) matching
  • 403(b) matching
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Health insurance
  • Life insurance
  • Paid time off
  • Tuition reimbursement
  • Vision insurance
  • Wellness program

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