RN Case Manager

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

Join our growing team in Milwaukee in this exciting role as an RN Case Manager. Enjoy a rewarding career with a true work/life balance—no nights or weekends, giving you more time for what matters most. We are currently seeking RN Case Managers to serve our members in the Wisconsin Family Care (FC) program. In 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 member's 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 individual's 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.

Required Qualifications:

• Associate degree in nursing.
• Must be a Registered Nurse, licensed in the state of Wisconsin in good standing.
• Demonstrated intermediate computer proficiency, including experience with Microsoft Office applications.

Preferred Qualifications:

• Bachelor 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: Milwaukee County and surrounding area.
• Travel: up to 40% throughout Milwaukee County and surrounding area.
• Typical Work Days/Hours: Monday through Friday, 8:00 am – 4:30 pm CST.

Benefits:

• 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

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.

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. Inclusa was acquired by Humana in 2022, creating 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.