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Humana · 3 weeks ago

RN Case Manager - Sparta, WI

United States

Full-time

Remote

Entry, Mid Level

$71K/yr - $98K/yr

1+ years exp

Humana is a healthcare company committed to putting health first, and they are seeking an RN Case Manager to join their team. In this role, you will collaborate with colleagues to ensure exceptional care coordination for members in the Wisconsin Family Care program, providing crucial support and education to help them thrive in their daily lives.

Health CareHealth InsuranceInsuranceVenture Capital

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