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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in developing comprehensive Member Care Plans and conducting health assessments while providing care coordination and education to members. Proficient in documentation and record review processes within regulatory timeframes.
Highest-signal resume keywords
Licensed Registered NurseCare Management ExperienceHealth AssessmentMember Care Plan DevelopmentD365 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
Health AssessmentCare ManagementMember Care Plan DevelopmentDocumentationRecord ReviewRemediation DocumentationPatient EducationTask Assignment
Soft Skills
CommunicationCoordinationInterpersonal Skills
Tools & Technologies
D365 System
Certifications & Qualifications
Associate Degree in NursingLicensed Registered Nurse in Wisconsin
Industry Keywords
Member CareHealth and Safety NeedsWisconsin Family Care ProgramDisease ProcessesNutritionLifestyle Modifications
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 and travel to 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
- Support new member assignments
- Travel approximately 40% of the time to visit members
- Provide care coordination, support, and education to Wisconsin Family Care Program members
Requirements
What you’ll need- Associate degree in nursing
- Licensed Registered Nurse in the state of Wisconsin (in good standing)
- Valid state driver's license
- Proof of personal vehicle liability insurance with at least 100/300/100 limits
- Ability to work Monday through Friday, 8:00 am–4:30 pm CST
- Ability to work remotely from a dedicated space without ongoing interruptions
- Minimum home internet speed of 25 Mbps download and 10 Mbps upload
- Patient-facing role requiring TB screening if selected
- Reside within 45 minutes or less of the assigned coverage area (preferred)
- 3 years Care Management experience (preferred)
Benefits
Comp & perks- No night or weekend shifts
- Mileage reimbursement for work-related travel
- 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
- Bonus incentive plan
- Remote work from home
- Occasional travel to Humana offices for training or meetings