RN Care Manager- WI Rapids

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.

Say goodbye to nights, weekends and on call and hello to more time with your family!!! Humana is seeking an RN Care Manager to join the Inclusa team to serve members in the Wisconsin Family Care (FC) program in Dane County. This is a Monday through Friday role with an 8-4:30pm schedule. As a RN Care Manager, you will be responsible for partnering with your fellow colleagues to provide top quality coordination of care to our members. They are looking to you in providing assistance when it comes to living their daily lives. The RN is responsible for facilitating the coordination, communication, negotiation, and collaboration of streamlined healthcare delivery processes on behalf of the member.

Partner with a social services care manager (also referred to as a Community Resource Coordinator/Care Coach) and collaborate on an ongoing basis regarding the member and their plan. Perform face-to-face health-related assessments for members upon enrollment and at least every six (6) months thereafter in the member’s setting. Coordinate, perform, and track quarterly face-to-face visits and monthly phone contacts. Participate in the development and ongoing review and coordination of the member’s plan of care. Take the lead on all health issues for the member. Contact and coordinate with acute and primary care providers. Identify and coordinate clinical and functional supports needed for the member’s health and safety. Educate on and promote prevention and wellness and mitigate risk when assessed. Document activity and complete paperwork as required. Traveling will be required and eligible for mileage reimbursement.