Job Description

RN Field Care Manager at Humana summary:

The RN Field Care Manager assesses and manages the health and wellness needs of Medicare/Medicaid members through in-home visits and telephonic support. They develop and coordinate individualized care plans, collaborate with interdisciplinary teams, and advocate for optimal patient outcomes in community settings. This role requires travel within assigned counties, strong clinical expertise, and the ability to navigate electronic health records and community resources.

Become a part of our caring community and help us put health first

 

The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Must reside in Michigan with the ability to drive to Wayne or Macomb Counties.

This position will be based from a home office and will travel 75% of the time, to an assigned area in Wayne or Macomb county, to conduct in home visits with Medicare/Medicaid members.

The Field Care Manager Nurse 2 employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.

Position Responsibilities:

• The RN Field Care Manager will be responsible for managing a case load and completing assessments with members in their home or community-based setting, as well as telephonically.
• Provides clinical support and guidance, particularly for members with medical complexity. Help develop and coordinate care plans ensuring that patients receive appropriate services to manage their health needs effectively. Addressing barriers to health care and advocating for optimal member outcomes.
• Will review, assess, and complete medical complexity attestations and clinical oversights.
• Ensures members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
• Develops and modify Individual Care Plan and involve applicable members of the care team in care planning (Informal caregiver, coach, PCP, etc.). 
• Focuses on supporting members and/or caregivers utilizing an interdisciplinary approach in accessing social, housing, educational and other services, regardless of funding sources to meet their needs. 
• Primary point of contact for the Interdisciplinary Care Team (ICT) and shall be responsible for coordinating with the member, ICT participants, and outside resources to ensure the member’s needs are met.

Use your skills to make an impact

 

Required Qualifications

• Registered Nurse, Nurse Practitioner, or Clinical Nurse Specialist with a minimum of 1 year in-home experience : care management, hospice, home health or equivalent environment

• Active Michigan Registered Nurse (RN) license with no disciplinary action

• Experience working with the adult population, disease management.

• Knowledge of community health and social service agencies and additional community resources

• Exceptional communication and interpersonal skills with the ability to quickly build rapport

• Ability to work with minimal supervision within the role and scope

• Ability to use a variety of electronic information applications & software programs including electronic medical records

• Excellent keyboard and web navigation skills

• Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel

• Ability to work full-time (40 hours minimum) Mon-Fri

• Ability to travel to member's residence within 30 to 40 miles

• This role is a part of Humana's Driver Safety program and therefore requires and individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.

• Valid driver's license, car insurance, and access to an automobile

• Must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work

• Must have accessibility to high-speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana At Home systems if 25Mx10M

• This role is considered patient facing and is part of Humana At Home's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

• 75% travel is required in this position

Preferred Qualifications

• BSN

• 3-5 years of in home assessment and care coordination experience

• Experience with health promotion, coaching and wellness

• Experience with Medicaid Long Term Care

• Previous managed care experience

• Bilingual- Spanish, Arabic or Chaldean Neo-Aramaic

• Certification in Case Management

• Motivational Interviewing Certification and/or knowledge

Additional Information

Our Hiring Process

As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you selected to move forward, you will receive correspondence inviting you to participate in a text screening so we can learn with a set of questions so we can learn more about your background. Your responses will be reviewed and you will subsequently be informed if you have been selected for a virtual interview with the hiring team.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay 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.

 

$71,100 - $97,800 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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

 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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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.

Keywords:

registered nurse, care management, home health nursing, patient assessment, care coordination, Medicare, Medicaid, chronic disease management, interdisciplinary care, in-home visits

Job Tags

Full time, Temporary work, Apprenticeship, Remote work, Home office,

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