Nurse Care Manager for Community Health Initiatives
5 days ago
Company Overview
Humana Inc. is a leading healthcare company committed to putting health first for its customers and employees. Our mission is to make it easier for people to achieve their best health, delivering care and service when they need it.
About the Job
We are seeking an experienced Nurse Care Manager to join our team in Dane, Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Rock and Waushara counties. As a Nurse Care Manager, you will be responsible for providing case management and support to adults in the community, ensuring quality services are provided, and monitoring the health and safety of members.
Job Description
This role involves working within an Interdisciplinary Team (IDT) setting to help manage and support members enrolled in the Family Care Partnership program. You will conduct home and community visits to members to complete nursing assessments and ensure they have access to appropriate care and services.
Essential Duties and Responsibilities:
- Complete the nursing portion of the comprehensive assessment and provide input to the member's care accordingly.
- Establish and monitor wellness and health promotion activities based on the member's assessment and identified outcomes.
- Re-evaluate the member's health and wellness at appropriate intervals to manage ongoing health issues, assess the member's response to interventions, or when a medical complaint or event affecting the member's health occurs.
- Perform routine health monitoring activities, based on the member's need.
- BUILD CONSTRUCTIVE WORKING RELATIONSHIPS WITH MEMBERS, THEIR FAMILY MEMBERS, AND APPROPRIATE OUTSIDE AGENCY STAFF.
- In crisis situations, provides appropriate assessment of psychiatric, behavioral or medical problems and implements interventions in conjunction with other staff to take appropriate measures to ensure the safety of members.
- Evaluate members' ability to safely manage, either by themselves or through use of supports, their medication, medical care interventions and treatments, equipment, and access to health care services.
- Take appropriate measures to prevent the spread of infection and communicable diseases and instruct the member and/or caregiver in these measures.
- Ensure that the member's physician or appropriate medical professional is notified when the member has an acute change in condition.
- Provide or arrange for services, supports or medical care that best meet the member's identified needs, and monitor the effectiveness of these interventions.
- Assists in problem resolution between members and providers.
- Occasionally assists in conducting presentations to outside agencies and organizations.
- Assists with program, policy, and procedure development and assists with input for the QI/QA program.
Required Skills and Qualifications:
- 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 Dane, Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Rock and Waushara counties.
- Proven ability to learn new software applications.
Benefits:
- Competitive salary: $69,800 - $96,200 per year
- Humana offers a variety of benefits to promote whole-person well-being, including health benefits effective day 1, paid time off, holidays, volunteer time off, paid parental and caregiver leave, recognition pay, 401(k) retirement savings plan with employer match, tuition assistance, scholarships for eligible dependents, and more.
About Humana
Humana Inc. is a healthcare company dedicated to making it easier for people to achieve their best health. We offer a range of benefits and opportunities to support the well-being of our employees and their families.
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