RN Field Care Manager Physical Health
RN Field Care Manager Physical Health
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$ 71100 - 97800
1 Vacancy
Job Description
Become a part of our caring community and help us put health first
The Field Care Manager Nurse 2 assesses and evaluates members 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.Position Responsibilities
The Field Care Manager Physical Health employs a variety of strategies approaches and techniques to manage a members physical environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care.
- Utilize a holistic member-centric approach to engage and motivate members and their families through recovery and health and wellness programs.
- Performstelephonicand face to face assessments and evaluations of the members needs to achieve and/or maintain an optimal wellness state by guiding members/families toward the appropriate resources for the care and overall wellbeing of the member.
- Ensures member is progressing towards desired outcomes by continuously monitoring care through assessments and/or evaluations.
- Perform clinical intervention through the development of a care plan specific to each member based on clinical judgement changes in members health or psychosocial wellness and identified triggers
- Collaborateswith providers and community services to promote quality andcost-effectiveoutcomes.
- Coordinates delivery of needed services/supports for Physical Health Social Determinant of Health and value-added benefits.
- Coordinates across the transdisciplinary care team (at a minimum the PCP) and transitions of care
- Understands department segment and organizational strategy and operating objectives including their linkages to related areas.
- Submits incident reports
Use your skills to make an impact
Required Qualifications
- Unrestricted Registered Nurse license in the state of Louisiana with 2 years of experience of in-home case/care management
- Experience working with all populations (youth adult geriatric)
- Knowledge of community health and social service agencies and additional community resources
- Ability to use a variety of electronic information applications/software programs including electronic medical records with excellent keyboard and web navigation skills and the ability to provide narrative documentation.
- Intermediate to Advanced computer skills and experience with Microsoft Word Outlook and Excel
- Exceptional communication and interpersonal skills with the ability to quickly build rapport
- Ability to work with minimal supervision within the role and scope
- Must reside in Louisiana and can work a full-time (40 hours minimum) flexible work schedule and travel to members residence within 50 miles
- Screening: This role is considered patient facing and is part of Humanas Tuberculosis (TB) screening program. If selected for this role you will be required to be screened for TB.
Preferred Qualifications
- BSN
- 3-5 years of in-home assessment and care coordination experience
- Experience with health promotion coaching and wellness
- Previous managed care experience
- Bilingual English Spanish
- Certification in Case Management
- Motivational Interviewing Certification and/or knowledge
Additional Information
Travel: Could be up to 75% in Regions 1 and 9 in the state of Louisiana
- This position will require a minimum of 75% travel in the State of Louisiana
- Must have a Valid drivers license with reliable transportation and the ability to travel within the state as required
- This role is part of Humanas Driver safety program and therefore requires an individual to have a valid state drivers license and proof of personal vehicle liability insurance with at least 100000/300000/100000 limits.
Work-At-Home Requirements
To ensure Home or Hybrid Home/Office employees ability to work effectively the 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 required.
- 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 business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Additional Information
*Section 1121 of the Louisiana Code of Governmental Ethics states that current or former agency heads or elected officials board or commission members or public employees of the Louisiana Health Department (LDH) who work directly with LDHs Medicaid Division cannot be considered for this opportunity. A separation of two (2) or more years from LDH is required for consideration. For more information please visit: Louisiana Board of Ethics ()
Interview Format
As part of our hiring process for this opportunity we will be using 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 pertaining to your relevant skills and experience at a time that is best for your schedule.
Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number if it is not already on file. When required an email will be sent from with instructions to add the information into the application at Humanas secure website.
Travel: While this is a remote position occasional travel to Humanas 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
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.
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.
Required Experience:
Manager
Employment Type
Full-Time
