RN Case Manager - Sparta, WI

Become a part of our caring community and help us put health first Enjoy a rewarding career with a true work/life balance—no nights or weekends, giving you more time for what matters most. Humana is currently seeking an RN Case Manager to join our team, serving members in the Wisconsin Family Care (FC) program. In this vital role, you will collaborate with dedicated colleagues to ensure exceptional care coordination for our members, providing crucial support and education to help them thrive in their daily lives.

Take the next step in your nursing career and make a meaningful difference with Humana.

• Partner with a Care Coach (also referred to as a Case Manager), taking the lead on health-related needs, to collaborate on an ongoing basis regarding the member and their care plan.
• Conduct regular health assessments for members and implement appropriate strategies and services to develop individualized care plans that support their continued health and safety.
• Contribute to the creation, continuous evaluation, and coordination of the member’s plan of care, including coordinating with outside providers to provide support with medication administration, assistance with home care, skilled nursing visits, and related services to ensure comprehensive care.
• Contact and coordinate with acute and primary care providers.
• Promote health and wellness through patient education on disease prevention, nutrition, exercise and lifestyle modifications.
• Provide members with education and information about disease processes and related risks, supporting informed decision-making while respecting each individual's autonomy.
• Daily documentation in member files within required DHS contract time frames.
• Participate in member monthly phone contacts and attend in person visits in members' setting.
• Traveling will be required and eligible for mileage reimbursement.

• Associate degree in nursing.
• Must be a Registered Nurse, licensed in the state of Wisconsin in good standing.
• Demonstrated intermediate computer proficiency, including experience with Microsoft Office applications.

• Bachelor degree in nursing.
• One (1)+ years of experience with Family Care target group: frail elders and adults with intellectual, developmental, or physical disabilities.
• Care Management experience.

• Workstyle: This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.
• Work Location: Monroe County and surrounding area.
• Travel: up to 40% throughout Monroe County and surrounding area.
• Typical Work Days /
  
  Hours:
  
  Monday through Friday, 8:00 am – 4:30 pm CST.

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.

This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

As part of our hiring process for this opportunity, we will be using an interviewing technology called Hire Vue to enhance our hiring and…