Humana

Become a part of our caring community   As a RN Care Manager, you will enjoy a true work-life balance with no night or weekend shifts. Reporting to the Manager of Care Coaching, you will support members enrolled in the Wisconsin Family Care Program providing essential care coordination, support, and education. You will make a difference in the lives of those you serve and within your own community. You will: Assess members, focusing on health and safety needs, to develop a comprehensive Member Care Plan (MCP). Conduct regular health assessments Coordinate with acute and primary care providers. Educate members on disease processes and related risks, nutrition, exercise and lifestyle modifications to support informed decision-making while respecting each person's autonomy. Document in member files within required DHS contract timeframes. Participate in member monthly phone contacts and travel to attend in person visits in members setting. Complete record reviews for...

Become a part of our caring community   The Field Care Manager Nurse 2 assesses members’ needs and helps members and their families access appropriate resources to achieve or maintain optimal health and well-being. $5,000 Sign-On Bonus: Subject to applicable terms and conditions. The Field Care Manager Nurse 2 uses a range of strategies to address members’ physical, environmental, and psychosocial health needs. Must reside in Michigan and be able to drive to Wayne and/or Macomb Counties. This is a Field-based position requires 75%–90% travel within an assigned area of Wayne and/or Macomb Counties to conduct in-home visits with Medicare and Medicaid members within a 30- to 40-mile radius. Position Responsibilities: The RN Field Care Manager manages a caseload and completes member assessments in home, community-based, and telephonic settings. Provides clinical support and guidance, particularly for members with complex medical needs. Develops and...

Become a part of our caring community   The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. How we value you! Competitive Pay, including eligibility for annual performance-based bonus Employee Referral Program The Field Care Manager Nurse employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psychosocial health needs. Must reside in Michigan  with the ability to drive to Wayne and/or Macomb Counties. This position is based out of a home office  and requires traveling 75–90% of the time  within an assigned area in Wayne and/...

Become a part of our caring community   Humana/iCare is seeking an RN Care Manager to join the team in the Family Care Partnership (FCP) program to provide services to members in Milwaukee and surrounding counties. Reporting to the Manager of Care Management Support, you will provide case management and support to adults in the community. You will conduct home and community visits to members to complete the nursing assessment and ensure members have appropriate care and access to services. Responsibilities: Complete the nursing portion of the comprehensive assessment and provide input to the members care accordingly. 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...

Become a part of our caring community   Ready to make a difference in your community without giving up your nights and weekends? As an RN Care Manager, you’ll enjoy true work-life balance with no night or weekend shifts while supporting members enrolled in the Wisconsin Family Care Program. Reporting to the Manager of Care Coaching, you’ll provide meaningful care coordination, support, and education that helps members live their best lives. You will: Assess members, focusing on health and safety needs, to develop a comprehensive Member Care Plan (MCP). Conduct regular health assessments Coordinate with acute and primary care providers. Educate members on disease processes and related risks, nutrition, exercise and lifestyle modifications to support informed decision-making while respecting each person's autonomy. Document in member files within required DHS contract timeframes. Participate in member monthly phone contacts and travel to attend in person visits in...

Become a part of our caring community   The Field Care Manager Registered Nurse (RN) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families toward resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues. The Field Care Manager Registered Nurse key roles and responsibilities may include the following: Identifies and resolves barriers that hinder effective care. Ensures member is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. Create plans of care. Communicates with internal and external stakeholders. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Follows established...

Become a part of our caring community   The Field Care Manager Registered Nurse key roles and responsibilities may include the following: Identifies and resolves barriers that hinder effective care. Ensures member is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. Create plans of care. Communicates with internal and external stakeholders. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Follows established guidelines/procedures. Visits Medicaid members in their homes, Supportive Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel (see Additional Information section). Use your skills to make an impact   Required Qualifications Applicants must reside in Franklin, Union, Jackson, Johnson, Massac, Hamilton, White, Alexander, Williamson, Saline, White, Hardin, Pope,...

Become a part of our caring community   The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. You will report to the Manager, Care Management of Behavioral Health. The Field Care Manager Nurse 2 employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. May create member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. In this role, you will travel up to 50% of the time to support collaboration,...

Become a part of our caring community   The Behavioral Health CM Liaison develops behavioral health strategies across the enterprise, business, or segment to support best practices and processes that improve member outcomes. This role works on problems of diverse scope and complexity, ranging from moderate to substantial. The Behavioral Health CM Liaison develops behavioral health strategies that include mental health and substance use services. Responsibilities include assessing and evaluating member needs to help achieve and maintain optimal wellness. As a member of the Interdisciplinary Care Team, the Behavioral Health CM Liaison coordinates and applies a variety of strategies, approaches, and techniques to support members' psychosocial health needs. This position supports Humana members' access to behavioral health services, with a focus on addressing the growing need for behavioral health care. Responsibilities include: Conducting member outreach and education related to...