Family Care Partnership RN Care Manager - iCare Milwaukee Co.

Profile

Description

iCare is seeking a Family Care Partnership (FCP) RN Care Manager who 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.

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.

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 Milwaukee County.

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.

Must have the ability to provide a high-speed DSL or cable modem for a home office.

A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.

Satellite and Wireless Internet service is NOT allowed for this role.

A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Preferred Qualifications

Bachelor's degree (BSN)

Previous home health, managed care or case management experience.

Previous experience working with persons with older adults in a health care setting.

Case Manager Certification

General knowledge of Medicaid and Medicare benefits.

Additional Information

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

Travel: up to 50% throughout Milwaukee County.

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.

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