RN Care Manager

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

📋 Description

• Deliver case management and support services to adults within the community.

• Ensure the provision of quality, cost-effective services while overseeing the health and safety of members.

• Collaborate as a member of an Interdisciplinary Team (IDT) for Family Care Partnership participants.

• Conduct visits to members' homes and communities.

• Carry out nursing assessments and contribute to the care of members.

• Oversee wellness and health promotion initiatives.

• Reassess members' health, wellness, and responses to various interventions.

• Execute routine health monitoring tasks.

• Establish and maintain working relationships with members, their families, and staff from external agencies.

• Evaluate psychiatric, behavioral, or medical issues during crises and apply necessary interventions.

• Assess members' capacity to manage medications, medical treatments, equipment, and access to healthcare.

• Provide or coordinate services, support, or medical care while monitoring their effectiveness.

• Assist in the development of programs, policies, and procedures.

• Contribute to the Quality Improvement/Quality Assurance (QI/QA) program.

⛳️ Requirements

• Must possess a Registered Nurse license in the State of Wisconsin.

• A minimum of two (2) years of relevant healthcare experience is required.

• Ability to travel to various locations within Racine, Kenosha, Waukesha, Washington, Ozaukee, Walworth, and Sheboygan counties.

• A valid state driver's license is necessary.

• Must provide proof of personal vehicle liability insurance with minimum limits of 100/300/100.

• TB screening must be completed if selected for the position.

• A dedicated workspace free from ongoing interruptions to ensure the protection of member PHI/HIPAA information.

• Preferred: Bachelor of Science in Nursing (BSN).

• Preferred: Prior experience in home health, managed care, or case management.

• Preferred: Experience working with individuals with physical, intellectual/developmental disabilities, or older adults in a healthcare environment.

• Preferred: Case Manager Certification.

• Preferred: General understanding of Medicaid and Medicare benefits.

• Access to home internet with download speeds of at least 25 Mbps and upload speeds of 10 Mbps.

🏝️ Benefits

• Incentive bonus plan based on individual and/or company performance.

• Medical, dental, and vision insurance coverage.

• 401(k) retirement savings plan.

• Paid time off.

• Company-designated holidays and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability insurance.

• Life insurance coverage.

• Support for personal wellness and informed healthcare decisions.

• Occasional travel to Humana offices for training or meetings.