Registered Nurse Care Manager- Jefferson County

$71,100 - $97,800 / year

Become a part of our caring community and help us put health first

As a RN Care Manager, you will enjoy a true work-life balance with no night or weekend shifts. Reporting to the Manager of Care Coaching, you will support members enrolled in the Wisconsin Family Care Program providing essential care coordination, support, and education. You will make a difference in the lives of those you serve and within your own community.

You will:

Assess members, focusing on health and safety needs, to develop a comprehensive Member Care Plan (MCP).
Conduct regular health assessments
Coordinate with acute and primary care providers.
Educate members on disease processes and related risks, nutrition, exercise and lifestyle modifications to support informed decision-making while respecting each person's autonomy.
Document in member files within required DHS contract timeframes.
Participate in member monthly phone contacts and travel to attend in person visits in members setting.
Work remotely from your home and travel approximately 40% of the time to visit your members.

Use your skills to make an impact

Required Qualifications

Associate degree in nursing
Licensed Registered Nurse in the state of Wisconsin

Preferred Qualifications

Previous Care Management experience.

Additional Information

Location: Jefferson County, WI (Fort Atkinson, Whitewater, Jefferson, Watertown, etc)
Travel- up to 40%
Typical Work Days/Hours: Monday through Friday, 8:00 am – 4:30 pm CST.

Driving

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.

Mileage reimbursement is provided for work-related travel. Eligible mileage includes:

Travel from your home to your first work location of the day.
Travel between client or assignment locations during the workday.
Travel from your final work location back to your home.

WAH Internet Statement

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.

HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$71,100 - $97,800 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity® which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum.

About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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License must be in good standing with the State Board of Nursing in the state of employment. American Health Association Healthcare Provider CPR certification or is required within thirty (30) days of date-of-hire. Bi-annual re-certification is required. Formal training in management of the aggressive patient is required within sixty (60) days of date-of-hire. Annual re-certification is required. Previous psychiatric experience with children, adolescents and adults is preferred. At the Hospital’s discretion, may be required to hold a qualified medical professional (QMP) designation. Must be deemed competent to serve as a QMP, as outlined in the Medical Staff bylaws of Rogers Memorial Hospital. This designation is evaluated and potentially renewed at least annually, based on results of the QMP job competency. Employees at the Child/Adolescent Day Treatment programs licensed under HFS §40 are required to have either training in psychiatric nursing, including training in work with children with mental health disorders, or one (1) year of experience working in a clinical setting with these children. The System also includes Rogers Behavioral Health Foundation, which supports patient care, programs, and research; and Rogers InHealth, an initiative that works to eliminate the stigma of mental health challenges. https://rogersbhfoundation.org/ EOE/MFDV Equal Employment Opportunity and Affirmative Action – Rogers Behavioral Health (rogersbh.org) With a career at Rogers, you can look forward to a Total Rewards package of benefits, including: Health, dental, and vision insurance coverage for you and your family 401(k) retirement plan Employee share program Life/disability insurance Flex spending accounts Tuition reimbursement Health and wellness program Employee assistance program (EAP) Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health. To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com)