RN Care Manager

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

📋 Description

• Conduct the nursing component of thorough member assessments and offer care suggestions.

• Oversee wellness initiatives and health promotion activities based on member evaluations and specified outcomes.

• Reassess members' health and wellness to address ongoing concerns and evaluate responses to interventions.

• Execute routine health monitoring activities tailored to member requirements.

• Foster collaborative relationships with members, their families, and staff from external agencies.

• Evaluate psychiatric, behavioral, or medical issues during emergencies and implement necessary interventions.

• Assess members' capabilities to safely manage medications, medical care, treatments, equipment, and access to healthcare.

• Provide or coordinate services, supports, or medical care that align with identified needs.

• Track the effectiveness of care interventions.

• Contribute to program and procedure development, along with input for QI/QA initiatives.

• Conduct visits to homes and communities.

• Travel within Milwaukee and nearby counties.

⛳️ Requirements

• Must be a Registered Nurse, licensed in the State of Wisconsin and in good standing.

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

• Possession of a valid state driver's license.

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

• TB screening must be completed if selected.

• Self-sourced internet service with minimum download speeds of 25 Mbps and upload speeds of 10 Mbps.

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

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

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

• Preferred: General understanding of Medicaid and Medicare benefits.

🏝️ Benefits

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

• Medical, dental, and vision insurance 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.

• Flexibility to work remotely from home and in the field.

• Occasional travel to Humana offices for training or meetings.