Bachelor's Degree or Registered Nurse * Reside within the State of WI * Four (4) or more years of ... Remote, work from home * Location: Southeast Wisconsin * Travel: up to 10% to Humana/iCare ...
Bachelor's Degree or Registered Nurse * Reside within the State of WI * Four (4) or more years of ... Remote, work from home * Location: Southeast Wisconsin * Travel: up to 10% to Humana/iCare ...
Bachelor's Degree or Registered Nurse * Reside within the State of WI * Four (4) or more years of ... Remote, work from home * Location: Southeast Wisconsin * Travel: up to 10% to Humana/iCare ...
Bachelor's Degree or Registered Nurse * Reside within the State of WI * Four (4) or more years of ... Remote, work from home * Location: Southeast Wisconsin * Travel: up to 10% to Humana/iCare ...
Bachelor's Degree or Registered Nurse * Reside within the State of WI * Four (4) or more years of ... Remote, work from home * Location: Southeast Wisconsin * Travel: up to 10% to Humana/iCare ...
Bachelor's Degree or Registered Nurse * Reside within the State of WI * Four (4) or more years of ... Remote, work from home * Location: Southeast Wisconsin * Travel: up to 10% to Humana/iCare ...
Telehealth RN Case Manager - Archimedes Location US- ID 2026-6049 Category Archimedes Position Type Full-Time Remote Yes Company Archimedes About Us Archimedes - Transforming the Specialty Drug ...
Telehealth RN Case Manager - Archimedes Location US- ID 2026-6049 Category Archimedes Position Type Full-Time Remote Yes Company Archimedes About Us Archimedes - Transforming the Specialty Drug ...
Appeals Registered Nurse
Madison, WI · On-site +1
Work Location We are open to remote work in the following approved states: Colorado, Florida ... Active RN license, applicable to state of practice in good standing. * One (1) or more years of ...
Appeals Registered Nurse
Madison, WI · On-site +1
Work Location We are open to remote work in the following approved states: Colorado, Florida ... Active RN license, applicable to state of practice in good standing. * One (1) or more years of ...
Home Based Hospital Care-In Home RN
Madison, WI · On-site +1
$40.30 - $60.45/hr
... remote patient monitoring, video visits, and mobile diagnostic services to support safe, high ... Licensed as a Registered Nurse (RN) in the State of WI or holds a license issued by a jurisdiction ...
Home Based Hospital Care-In Home RN
Madison, WI · On-site +1
$40.30 - $60.45/hr
... remote patient monitoring, video visits, and mobile diagnostic services to support safe, high ... Licensed as a Registered Nurse (RN) in the State of WI or holds a license issued by a jurisdiction ...
Compact (NLC) license and/or California RN license required, depending on assignment Physical Demand & Work Environment * Fully remote/home-based role * Private, quiet, and secure home office free ...
Compact (NLC) license and/or California RN license required, depending on assignment Physical Demand & Work Environment * Fully remote/home-based role * Private, quiet, and secure home office free ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$70K - $85K/yr
Our Medical Review Nurse Analyst - Registered Nurse (RN) is responsible for reviewing medical ... Work Location We are open to remote work in the following approved states: Colorado, Florida ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$70K - $85K/yr
Our Medical Review Nurse Analyst - Registered Nurse (RN) is responsible for reviewing medical ... Work Location We are open to remote work in the following approved states: Colorado, Florida ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$70K - $85K/yr
Our Medical Review Nurse Analyst - Registered Nurse (RN) is responsible for reviewing medical ... Work Location We are open to remote work in the following approved states: Colorado, Florida ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$70K - $85K/yr
Our Medical Review Nurse Analyst - Registered Nurse (RN) is responsible for reviewing medical ... Work Location We are open to remote work in the following approved states: Colorado, Florida ...
At AMC Health, we are transforming healthcare through advanced remote patient monitoring and ... Collaborate with clinical management, RN Care Managers, providers, and interdisciplinary care teams ...
At AMC Health, we are transforming healthcare through advanced remote patient monitoring and ... Collaborate with clinical management, RN Care Managers, providers, and interdisciplinary care teams ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Madison, WI · Remote
$29.05 - $67.97/hr
Michigan is NOT included in a compact RN license. Job Duties Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Madison, WI · Remote
$29.05 - $67.97/hr
Michigan is NOT included in a compact RN license. Job Duties Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes ...
Registered Nurse - AI Trainer
Madison, WI · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Registered Nurse - AI Trainer
Madison, WI · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Regional Director of Clinical Survey
Madison, WI · Remote
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · Remote
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · Remote
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · Remote
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · Remote
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · Remote
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · On-site +1
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · On-site +1
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$68K - $70K/yr
We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ... Active RN license, applicable to state of practice in good standing. * 1 or more years of clinical ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$68K - $70K/yr
We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ... Active RN license, applicable to state of practice in good standing. * 1 or more years of clinical ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$68K - $70K/yr
We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ... Active RN license, applicable to state of practice in good standing. * 1 or more years of clinical ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$68K - $70K/yr
We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ... Active RN license, applicable to state of practice in good standing. * 1 or more years of clinical ...
Care Advocate Nurse
Madison, WI · Remote
$61K - $98K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...
Quick apply
Care Advocate Nurse
Madison, WI · Remote
$61K - $98K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...
Care Advocate Nurse
Madison, WI · Remote
$61K - $98K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...
Care Advocate Nurse
Madison, WI · Remote
$61K - $98K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...
Remote Humana Rn information
What is the difference between Remote Humana Rn vs Remote UnitedHealthcare Rn?
| Aspect | Remote Humana Rn | Remote UnitedHealthcare Rn |
|---|---|---|
| Credentials | RN license, applicable certifications | RN license, applicable certifications |
| Work Environment | Remote, telehealth settings | Remote, telehealth settings |
| Employer & Industry | Humana, health insurance industry | UnitedHealthcare, health insurance industry |
| Common Search Intent | Comparison of remote nursing roles in Humana and similar companies | Comparison of remote nursing roles in UnitedHealthcare and similar companies |
Both Remote Humana Rn and Remote UnitedHealthcare Rn roles involve providing patient care remotely within the health insurance industry. They require similar credentials, such as an active RN license and relevant certifications. The primary difference lies in the employer and specific company policies, but the work environment and job responsibilities are largely comparable, focusing on telehealth services for members of their respective health plans.
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 6 days ago
Humana rating
7.9
Based on 255 frontline employees who took The Breakroom Quiz
145th of 261 rated insurance
Job description
Humana/iCare is seeking a Care Management Manager to join the team in the Family Care Partnership (FCP) program. You will report to the Associate Director, Care Management Support. You will oversee a team of nurses and human service professionals working in the field who are responsible for care management services through the FCP program. Develop your leadership skills all while doing your part to improve the lives of others.
Responsibilities:
- Screen, interview, orient and establish dynamic and successful associates.
- Manage and evaluate the performance of associates assigned to their teams.
- Promote a collaborative team environment and positive work culture.
- Provide leadership and feedback to encourage professional development and associate retention.
- Convene team meetings to the Interdisciplinary Team (IDT) to provide case staffings and share information.
- Provide coaching to associates to meet member needs.
- Use established systems to monitor documentation to ensure quality and contract compliance.
- Communicate with program management about the challenges faced by the IDT and work with management to address these challenges.
- Work with FCP and iCare/Humana leadership to develop and implement programs to achieve identified metrics such as HEDIS elements and financial performance targets and other strategic projects as identified.
- Work with other departments to resolve case specific issues with the IDT.
- Collaborate with the FCP Learning and Development team to provide training to associates, ensuring they stay current with the Family Care Partnership model and other best practices or other program development plans.
- Collaborate with Program and Company Management to provide leadership to the IDT.
Use your skills to make an impact
Required Qualifications
- Bachelor's Degree or Registered Nurse
- Reside within the State of WI
- Four (4) or more years of full time, professional experience.
- Two (2) or more years of people management/supervisory experience.
- 1 year of experience in managed care, long term care programs, or in a health care field.
Preferred Qualifications
- Reside within southeastern Wisconsin
Additional Information
- Workstyle: Remote, work from home
- Location: Southeast Wisconsin
- Travel: up to 10% to Humana/iCare's Milwaukee office location
- Direct Reports: 12-15 associates
- Typical Work Days/Hours: Monday through Friday; 8:30am - 5:00 pm (CST)
WAH Internet Statement
Self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
- Satellite, cellular and microwave connection can be used only if approved by leadership.
- Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
HireVue
As part of our hiring process for this opportunity, we will use an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you about your relevant experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
About Humana
Sourced by ZipRecruiter
Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Louisville, KY, US
Year founded
1961