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Humana

RN Care Manager

Humana

. Provide case management and support to adults in the community .

Posted 10/14/2026full-timeRemote • Wisconsin • United StatesJuniorMid-Level💰 $71,100 - $97,800 per yearWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in case management and nursing assessments while ensuring quality and cost-effective services for community members. Proficient in building relationships and collaborating with interdisciplinary teams to monitor health and wellness.

Highest-signal resume keywords
Registered Nurse LicenseCase Management ExperienceNursing Assessment SkillsKnowledge of Medicaid and MedicareHome Health Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
Health MonitoringCrisis InterventionMedication ManagementQuality ImprovementHealth Promotion Activities
Soft Skills
Relationship BuildingCommunication SkillsTeam Collaboration
Tools & Technologies
Personal VehicleHome Internet
Certifications & Qualifications
Case Manager Certification
Industry Keywords
Interdisciplinary TeamHealth Care ExperienceTB ScreeningPHI/HIPAA Compliance

About the role

Key responsibilities & impact
  • Provide case management and support to adults in the community
  • Assure quality, cost-effective services while monitoring members' health and safety
  • Work as part of an Interdisciplinary Team (IDT) for Family Care Partnership members
  • Conduct home and community visits
  • Complete nursing assessments and provide input to members' care
  • Monitor wellness and health promotion activities
  • Re-evaluate members' health and wellness and responses to interventions
  • Perform routine health monitoring activities
  • Build working relationships with members, families, and outside agency staff
  • Assess psychiatric, behavioral, or medical problems during crises and implement interventions
  • Evaluate members' ability to manage medications, medical interventions, equipment, and healthcare access
  • Provide or arrange services, supports, or medical care and monitor effectiveness
  • Assist with program, policy, and procedure development
  • Provide input for the QI/QA program

Requirements

What you’ll need
  • 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 Racine, Kenosha, Waukesha, Washington, Ozaukee, Walworth, and Sheboygan counties
  • Valid state driver's license
  • Proof of personal vehicle liability insurance with at least 100/300/100 limits
  • Must complete TB screening if selected
  • Dedicated work space without ongoing interruptions to protect member PHI/HIPAA information
  • Preferred: Bachelor of Science degree in Nursing (BSN)
  • Preferred: Previous home health, managed care, or case management experience
  • Preferred: Previous experience working with persons with physical, intellectual/developmental disabilities, or older adults in a health care setting
  • Preferred: Case Manager Certification
  • Preferred: General knowledge of Medicaid and Medicare benefits
  • Home internet with at least 25 Mbps download and 10 Mbps upload speeds

Benefits

Comp & perks
  • Bonus incentive plan based on company and/or individual performance
  • Medical, dental and vision benefits
  • 401(k) retirement savings plan
  • Paid time off
  • Company and personal holidays
  • Paid parental and caregiver leave
  • Short-term and long-term disability
  • Life insurance
  • Personal wellness and smart healthcare decision support
  • Occasional travel to Humana offices for training or meetings