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FCP RN Care Manager- Dane, Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Rock and Waushara Counties

Humana
Work at Home - Wisconsin, United Statesfull_timeVerifiedPosted 20 Nov 2024
💰 $96,200/yr($69,800/yr$96,200/yr)

About the role

Become a part of our caring community and help us put health first
 

Humana/iCare is seeking a Nurse Care Manager to join the growing team in Dane, Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Rock and Waushara counties for the Family Care Partnership (FCP) program. The FCP Nurse 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 Nurse 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.
  • Take appropriate measures to prevent the spread of infection and communicable diseases and instruct the member and/or caregiver in these measures.
  • Ensure that the member’s physician or appropriate medical professional is notified when the member has an acute change in condition.
  • 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 in problem resolution between members and providers.
  • Occasionally assists in conducting presentations to outside agencies and organizations.
  • Assists with program, policy, and procedure development and assists with input for the QI/QA program.


Use your skills to make an impact
 

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 Dane, Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Rock and Waushara counties.
  • Proven ability to learn new software applications.
  • This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
  • This role is a part of Humana’s Driver Safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.
  • To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
    • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
    • Satellite, cellular and microwave connection can be used only if approved by leadership.
    • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
    • Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
    • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Preferred Qualifications

  • Bachelor’s degree in nursing (BSN).
  • Previous home he

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Company

Humana

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