Family Care Partnership RN Care Manager

Description

Humana/iCare is seeking an RN Care Manager to join the Dane & Sauk 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.

Responsibilities

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 Dane or Sauk Counties.

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 Dane or Sauk County.
• Typical Work Days/Hours: Monday – Friday, 8:30 am – 5:00 pm Central Standard Time (CST).

WAH Requirements

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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.
• Employees 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 employees 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.

Driving

This role is 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 100/300/100 limits.

TB

This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Modern Hire

As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information fr