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

Enjoy a rewarding career with a true work/life balanceno 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) 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.

Key responsibilities:

• 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 members 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 individuals autonomy.
• Daily documentation in member files within required DHS contract timeframes.
• Participate in member monthly phone contacts and attend in person visits in members setting.
• Traveling will be required and eligible for mileage reimbursement.

Use your skills to make an impact

Required Qualifications

• Associate degree in nursing.
• Must be a Registered Nurse licensed in the state of Wisconsin.

Preferred Qualifications

• Bachelors 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.

Additional Information

• 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: Marshfield Wisconsin and surrounding area.
• Travel: up to 40% throughout Marshfield WI and surrounding area.
• Typical Work Days/Hours: Monday through Friday 8:00 am 4:30 pm CST.

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.

Driving

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

TB

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

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.

SSN Alert

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number if it is not already on file. When required an email will be sent from with instructions on how to add the information into your official application on Humanas secure website.

Scheduled Weekly Hours

40

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.

$71100 - $97800 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 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.