FCP RN Care Manager

Humana/iCare is seeking an RN Care Manager to join the team in the Family Care Partnership (FCP) program to provide services to members in Milwaukee and surrounding counties. Reporting to the Manager of Care Management Support, you will provide case management and support to adults in the community. You will conduct home and community visits to members to complete the nursing assessment and ensure members have appropriate care and access to services.

Responsibilities

• Complete the nursing portion of the comprehensive assessment and provide input to the members care accordingly.
• 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.
• Build 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 together with other staff to take appropriate measures to ensure the safety of members.
• Evaluate members' ability to safely manage 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.
• Help with program and procedure development and assist with input for the QI/QA program.
• Travel to any location within Milwaukee and surrounding counties.

Required Qualifications

• Must be a Registered Nurse, licensed in the State of Wisconsin in good standing.
• Two (2) years of related health care experience.

Preferred Qualifications

• Bachelor of Science degree in Nursing (BSN).
• Previous home health, managed care or case management experience.
• General knowledge of Medicaid and Medicare benefits.

Additional Information