Registered Nurse Care Manager

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

📋 Description

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

• Perform regular health assessments.

• Collaborate with acute and primary care providers.

• Inform members about disease processes, risks, nutrition, exercise, and lifestyle changes.

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

• Engage in monthly member phone communications and travel for face-to-face member visits.

• Work remotely and travel approximately 40% of the time to visit members.

• Conduct record reviews for reassigned members and pinpoint necessary remediation.

• Finalize documentation for evident remediation updates.

• Notify newly assigned RNs and Care Coach partners about missed or required follow-up.

• Assign tasks in the D365 system when necessary.

• Offer assistance for record review and remediation processes.

• Support the team through changes in procedures.

• Take on additional complex member assignments.

• Provide further assistance with new member assignments.

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

⛳️ Requirements

• Associate degree in nursing.

• Registered Nurse license in the state of Wisconsin (in good standing).

• Preferred: 1 year of Care Management experience.

• Preferred: Reside within 45 minutes or less from the designated coverage area.

• Previous Care Management experience is preferred.

• Valid state driver's license.

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

• Required to undergo TB screening if selected.

• Minimum home internet speed of 25 Mbps download and 10 Mbps upload.

• Dedicated workspace free from ongoing interruptions to safeguard member PHI / HIPAA information.

🏝️ Benefits

• No evening or weekend shifts.

• Bonus incentive plan based on 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.

• Life insurance.

• Mileage reimbursement for work-related travel.

• Home-based work arrangement.

• Occasional travel to Humana offices for training or meetings.