FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Care Management, including the development of Member Care Plans and conducting health assessments. Proficient in coordinating with healthcare providers and educating members on health-related topics while ensuring compliance with HIPAA regulations.
Highest-signal resume keywords
Licensed Registered NurseCare Management ExperienceHealth AssessmentsMember EducationD365 System Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Member Care PlansHealth AssessmentsCare CoordinationDocumentationRecord ReviewRemediation DocumentationTask AssignmentDisease Process EducationNutrition EducationLifestyle Modification Education
Soft Skills
CommunicationInterpersonal SkillsOrganizational SkillsProblem-Solving
Tools & Technologies
D365 System
Certifications & Qualifications
Associate Degree in NursingLicensed Registered Nurse in Wisconsin
Industry Keywords
Care ManagementHealth and Safety NeedsMember PHIHIPAA ComplianceTB ScreeningPersonal Vehicle Liability Insurance
About the role
Key responsibilities & impact- Assess members' health and safety needs to develop comprehensive Member Care Plans
- Conduct regular health assessments
- Coordinate with acute and primary care providers
- Educate members on disease processes, risks, nutrition, exercise, and lifestyle modifications
- Document in member files within required DHS contract timeframes
- Participate in monthly member phone contacts
- Travel to members' settings for in-person visits
- Complete record reviews for reassigned members and identify remediation needs
- Support record review and remediation activities
- Complete remediation documentation
- Inform newly assigned RNs and Care Coach partners of missing or needed follow-up
- Assign tasks in the D365 system
- Accept additional complex member assignments
- Provide additional support with new member assignments
- Travel approximately 40% of the time to visit members
Requirements
What you’ll need- Associate degree in nursing
- Licensed Registered Nurse in the state of Wisconsin, in good standing
- 3 years Care Management experience preferred
- Reside within 45 mins or less of the assigned coverage area preferred
- Previous Care Management experience preferred
- Valid state driver's license
- Proof of personal vehicle liability insurance with at least 100/300/100 limits
- Pass TB screening if selected
- Home internet with at least 25 Mbps download and 10 Mbps upload
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
- Ability to work Monday through Friday, 8:00 am–4:30 pm CST
Benefits
Comp & perks- No night or weekend shifts
- 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
- Mileage reimbursement for work-related travel
- Remote work from home
- Occasional travel to Humana offices for training or meetings