Registered Nurse Care Manager

atHumanaRemoteUS flagWisconsinFull-timeUncategorizedMid-levelSenior$71.1k – $97.8k/year

Posted 3 days ago

This is a fully remote position, open to applicants in Wisconsin.

📋 Description

• Evaluate the health and safety requirements of members to create detailed Member Care Plans.

• Perform routine health assessments.

• Collaborate with acute and primary care providers.

• Educate members regarding disease processes, risks, nutrition, exercise, and lifestyle changes.

• Maintain documentation in member files within the required DHS contract deadlines.

• Engage in monthly communication with members via phone.

• Travel to members' locations for face-to-face visits.

• Conduct record reviews for reassigned members and identify areas needing remediation.

• Complete documentation for any evident record remediation during reviews.

• Notify newly assigned RNs and Care Coach partners of any missed or necessary follow-ups.

• Assign tasks in the D365 system as required.

• Provide assistance for record review and remediation processes.

• Support the team during changes in processes.

• Accept additional complex member assignments.

• Offer assistance with new member assignments.

• Alert Managers about significant risks or concerns discovered during record reviews.


⛳️ Requirements

• Associate degree in nursing.

• Licensed Registered Nurse in Wisconsin (in good standing).

• Preferred: 1 year of experience in Care Management.

• Preferred: Reside within a 45-minute radius of the assigned coverage area.

• Valid state driver's license.

• Proof of personal vehicle liability insurance with minimum limits of 100/300/100.

• Must pass TB screening if selected.

• Home internet connection with a minimum download speed of 25 Mbps and upload speed of 10 Mbps.

• A dedicated workspace free from ongoing interruptions to protect member PHI/HIPAA information.

• Ability to travel up to 40% of the time.

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


🏝️ Benefits

• Bonus incentive plan based on both 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 coverage.

• Life insurance.

• Mileage reimbursement for work-related travel.

• Option for remote work from home.

• No night or weekend shifts.

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