FCP RN Care Manager

About the role

Humana/iCare is seeking an RN Care Manager to join the Family Care Partnership (FCP) program to provide services to adults in the community.

Responsibilities

• Complete the nursing portion of the comprehensive assessment and provide input to the member’s care accordingly.
• Maintain wellness and health promotion activities based on the member's assessment and identified outcomes.
• Evaluate the member's health and wellness at appropriate intervals to manage ongoing health issues, assess the member's response to interventions, or when a medical complaint or event affecting the member's health occurs.
• Perform routine health monitoring activities, based on the member's need.
• Build constructive working relationships with members, their family members, and appropriate outside agency staff.
• In crisis situations, provide appropriate assessment of psychiatric, behavioral or medical problems and implement interventions together with other staff to ensure the safety of members.
• Evaluate members' ability to safely manage their medication, medical care interventions and treatments, equipment, and access to healthcare services.
• Provide or arrange for services, supports or medical care that best meet the member's identified needs, and monitor the effectiveness of these interventions.
• Help with program and procedure development and assist with input for the QI/QA program.
• Travel to any location within Milwaukee and surrounding counties.

Requirements

• Must be a Registered Nurse, licensed in the State of Wisconsin in good standing.
• Two (2) years of related health care experience.
• Bachelor of Science degree in Nursing (BSN) preferred.
• General knowledge of Medicaid and Medicare benefits.

Qualifications

• Use your skills to make an impact.

Skills

• Excellent communication and interpersonal skills.
• Strong organizational and problem-solving abilities.
• Ability to work independently and as part of a team.
• Proficiency in Microsoft Office applications.

Benefits

Humana offers a comprehensive benefits package that includes medical, dental, and vision coverage, a 401(k) retirement savings plan, paid time off, short-term and long-term disability, life insurance, and many other opportunities. Additionally, Humana provides a variety of wellness programs and resources to support the overall well-being of its associates.

Pay

The compensation range for this role is $71,100 - $97,800 per year. This job is eligible for a bonus incentive plan based on company and/or individual performance.

Schedule

This is a remote position with occasional travel to Humana's offices for training or meetings. Typical work days/hours are Monday – Friday, 8:30 am – 5:00 pm Central Standard Time (CST).

Workplace Environment

To ensure effective work from home, associates must have a dedicated workspace free from ongoing interruptions to protect member PHI/HIPAA information. Humana provides a driver safety program and requires 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.