Family Care Partnership Nurse Care Manager

Profile

Description

Humana/iCare is seeking a Nurse Care Manager to join the growing Dane and Sauk County team in 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.

Responsibilities

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.

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 and Sauk 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 health, managed care or case management experience.

Previous experience working with persons with disabilities and/or older adults in a health care setting.

Case Manager Certification.

General knowledge of Medicaid and Medicare benefits.

Additional Information

Workstyle: Field. Field workstyle is defined as associates performing their core duties at one or more non-Humana/iCare locations.

Travel: up to 50% throughout Dane and Sauk Counties to see members in their residences.

Typical Work Days/Hours: Monday - Friday, 8:30am - 5:00 pm CST

Benefits: Benefits are effective on day 1. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes: 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more!

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

Social Security Alert

Humana Values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

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Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Company info

Humana Inc.
Website : http://www.humana.com