RN Care Manager

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

📋 Description

• Evaluate and assess the needs and requirements of members to attain or sustain optimal wellness.

• Direct members and their families to suitable care and wellness resources.

• Facilitate connections with community and healthcare resources.

• Address members' physical, environmental, and psychosocial health challenges using diverse strategies and techniques.

• Identify and eliminate obstacles to effective care delivery.

• Oversee patient care through continuous assessments and evaluations.

• Ensure that patients progress towards their desired health outcomes.

• Develop member care plans as necessary.

• Interpret guidelines and autonomously determine the most appropriate courses of action.

• Make decisions regarding work methods in situations of uncertainty with minimal supervision.

• Adhere to established guidelines and procedures.

⛳️ Requirements

• Must be a Registered Nurse with at least 2 years of experience in in-home case/care management.

• Experience working with adult populations is essential.

• Familiarity with community health and social service agencies, as well as additional community resources.

• Willingness to travel to members' homes within a 30 to 40-mile radius.

• Outstanding communication and interpersonal skills, with the ability to quickly establish rapport.

• Ability to work independently within the role and scope of responsibilities.

• Proficiency in using electronic information applications/software programs, including electronic medical records.

• Intermediate to advanced computer skills, including experience with Microsoft Word, Outlook, and Excel.

• Strong keyboard and web navigation abilities.

• Willingness to work a full-time, flexible schedule of at least 40 hours per week.

• Possession of a valid state driver's license.

• Personal vehicle liability insurance that meets state minimums or specified higher limits.

• Valid driver's license, car insurance, and access to a reliable automobile.

• A separate room with a locked door available for use as a home office to ensure continuous privacy.

• Access to high-speed DSL or cable modem; satellite internet service is not permitted.

• Required TB screening for this patient-facing position.

• A strong passion for enhancing consumer experiences.

• BSN is preferred.

• 3–5 years of in-home assessment and care coordination experience is preferred.

• Experience in health promotion, coaching, and wellness is preferred.

• Previous experience in managed care is preferred.

• Bilingual proficiency in English and Spanish is preferred.

• Certification in Case Management is preferred.

• Knowledge of and/or certification in Motivational Interviewing is preferred.

🏝️ Benefits

• Bonus incentive plan based on company and/or individual performance.

• Medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance.

• Flexible work schedule.

• Remote work arrangement.

• Home office requirements and high-speed internet support criteria.

• Occasional travel to Humana offices for training or meetings.