FCP RN Care Manager

Become a Part of Our Caring Community and Help Us Put Health First

Humana/iCare is seeking an RN Care Manager to join the Milwaukee County team in the Family Care Partnership (FCP) program. The FCP RN Care Manager provides case management and support to adults in the community, assures quality services are provided which are cost effective, and monitors the health and safety of members. Share your talents and develop your skills all while doing your part to improve the lives of others.

The FCP RN Care Manager works within an Interdisciplinary Team (IDT) setting to help manage and support members that are enrolled in the Family Care Partnership program. This role conducts home and community visits to members to complete the nursing assessment and assures members have appropriate care and access to services.

Essential Duties and Responsibilities:

• Complete the nursing portion of the comprehensive assessment and provide input to the members care accordingly.
• Establish and monitor wellness and health promotion activities based on the member's assessment and identified outcomes.
• Re-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.
• Builds constructive working relationships with members, their family members, and appropriate outside agency staff.
• In crisis situations, provides appropriate assessment of psychiatric, behavioral or medical problems and implements interventions in conjunction with other staff to take appropriate measures to ensure the safety of members.
• Evaluate members' ability to safely manage, either by themselves or through use of supports, their medication, medical care interventions and treatments, equipment, and access to health care 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.
• Assists with program, policy, and procedure development and assists with input for the QI/QA program.

Required Qualifications:

• Must be a Registered Nurse, licensed in the State of Wisconsin.
• Two (2) years of related health care experience.
• Must be able to travel to any location within Milwaukee County.

Preferred Qualifications:

• Bachelor of Science degree in Nursing (BSN).
• Previous home health, managed care or case management experience.
• Previous experience working with persons with physical, intellectual/developmental disabilities, or older adults in a health care setting.
• Case Manager Certification.
• General knowledge of Medicaid and Medicare benefits.

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.
• Travel: up to 50% throughout Milwaukee County.
• Typical Work Days/Hours: Monday – Friday, 8:30 am – 5:00 pm Central Standard Time (CST).

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

• Health benefits effective day 1
• Paid time off, holidays, volunteer time and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employer match
• Tuition assistance
• Scholarships for eligible dependents
• Parental and caregiver leave
• Employee charity matching program
• Network Resource Groups (NRGs)
• Career development opportunities

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

Scheduled Weekly Hours 40

Pay Range $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.

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.

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.