• Assessing members' health and safety needs to develop a comprehensive Member Care Plan (MCP)
• Conducting regular health assessments
• Coordinating with acute and primary care providers
• Educating members on disease processes, nutrition, exercise, and lifestyle modifications
• Documenting in member files within required timeframes
• Participating in member monthly phone contacts and traveling to attend in-person visits
• Working remotely from home and traveling approximately 40% of the time to visit members

Requirements:

• Associate degree in nursing
• Licensed Registered Nurse in the state of Wisconsin (in good standing)

Preferred Qualifications:

• 1 year of Care Management experience
• Residing within 45 minutes or less of the assigned coverage area

Additional Information:

• Location: Milwaukee, WI
• Travel: Up to 40%
• Typical Workdays/Hours: Monday through Friday, 8:00 am – 4:30 pm CST
• Pay Range: $71,100 - $97,800 per year
• This job is eligible for a bonus incentive plan

Benefits:

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance

Job Data by YubHub.

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' settings.
• Work remotely from your home and travel approximately 40% of the time to visit your members.

Required Qualifications

• Associate degree in nursing.
• Licensed Registered Nurse in the state of Wisconsin (in good standing).

Preferred Qualifications

• 1 year Care Management experience.
• Reside within 45 minutes or less of the assigned coverage area.
• Previous Care Management experience.

Additional Information

• Location: Sparta, WI.
• Travel: Up to 40%.
• Typical Workdays/Hours: Monday through Friday, 8:00 am – 4:30 pm CST.

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 Screening 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.

Work at Home 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 required; wireless, wired cable or DSL connection is suggested.

Scheduled Weekly Hours 40.

Pay Range $71,100 - $97,800 per year.

Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Job Data by YubHub.

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' settings.
• Work remotely from your home and travel approximately 40% of the time to visit your members.
• Complete record reviews for reassigned members, including identifying areas where record remediation is needed.
• Complete documentation for remediation when the needed updates are evident in the record and can be completed during the review process.
• Ensure that newly assigned RNs and their Care Coach partners are informed of any missed or needed follow-up including assignment of tasks in the D365 system as needed.
• Provide support regarding record review and remediation.
• Support the team as they adapt to and navigate this change.
• Accept additional complex member assignments.
• Provide additional support with new member assignments.
• Inform Managers of any significant risks or concerns identified during record reviews.

Required Qualifications

• Associate degree in nursing.
• Licensed Registered Nurse in the state of Wisconsin (in good standing).

Preferred Qualifications

• 1 year Care Management experience.
• Reside within 45 mins or less of the assigned coverage area.
• Previous Care Management experience.

Additional Information

• Location: Remote Wisconsin | Mauston, WI.
• Travel: Up to 40%.
• Typical Workdays/Hours: Monday through Friday, 8:00 am – 4:30 pm CST.

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.
• Mileage reimbursement is provided for work-related travel.

TB Screening

• 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.

Work at Home 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 required; wireless, wired cable or DSL connection is suggested.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Scheduled Weekly Hours

• 40.

Pay Range

• $71,100 - $97,800 per year.

Description of Benefits

• Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Job Data by YubHub.

Responsibilities:

• Mentor and support Field Nurses and Care Coaches to ensure compliance with the DHS contract
• Identify learning needs and provide clear expectations, orientation, and ongoing learning to build capacity of IDT staff
• Assess and coach staff on IDT primary competencies and performance standards
• Review reports, assess processes, and review documentation
• Assess utilization and quality of care management for each member served
• Participate in cross-departmental collaboration to ensure quality and effectiveness of provider services
• Educate community partners
• Participate in hiring, orienting, and training associates
• Facilitate in-person unit meetings and attend quality visits

Requirements:

• Bachelor's degree in human services or a related field, or associate degree in nursing
• 1 year of leadership experience in human services
• 3 years of experience working in the Family Care program

Preferred Qualifications:

• 5 years of experience working with individuals with intellectual/developmental disabilities, physical disabilities, or frail elders
• Reside within 1 hour of Eau Claire
• Master's degree in public administration, social work, or a related field

Work Details:

• Work remotely from home
• Work location: Eau Claire
• Typical work days/hours: Monday – Friday, 8:00 am – 4:30 pm CST
• Travel: at least once/month, with potential for more travel
• Direct reports: approximately 11-15

Compensation:

• Salary range: $78,400 - $107,800 per year
• Eligible for a bonus incentive plan

Benefits:

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance

Job Data by YubHub.

Responsibilities:

• 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 reassigned members, including identifying areas where record remediation is needed.
• Provide support regarding record review and remediation.
• Complete documentation for remediation.
• Ensure that newly assigned RNs and their Care Coach partners are informed of any missing or needed follow-up.
• Accept additional complex member assignments.
• Provide additional support with new member assignments.
• Work remotely from your home and travel approximately 40% of the time to visit your members.

Requirements:

• Associate degree in nursing.
• Licensed Registered Nurse in the state of Wisconsin (in good standing).

Preferred Qualifications:

• 3 years Care Management experience.
• Reside within 45 mins or less of the assigned coverage area.

Additional Information:

• Location: La Crosse/Sparta and surrounding areas, WI.
• Travel: Up to 40%.
• Typical Workdays/Hours: Monday through Friday, 8:00 am – 4:30 pm CST.

Benefits:

• Medical, dental and vision benefits.
• 401(k) retirement savings plan.
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave).
• Short-term and long-term disability.
• Life insurance.

Pay Range: $71,100 - $97,800 per year.

Job Data by YubHub.