Hybrid Field Care Manager – RN

at Humana

• Job title: Field Care Manager – RN
• Job type: Full Time
• Experience level: Junior, Mid level
• Salary: $78,200 - $107,600 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, United States

About the role

• Field Care Manager RN assessing member wellness and coordinating care resources in Illinois. Requires registered nursing and clinical experience with local travel and key stakeholder communication.

Responsibilities

• assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families toward resources appropriate for the care and wellbeing of members.
• employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.
• Identifies and resolves barriers that hinder effective care.
• Ensures member is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
• Create plans of care.
• Communicates with internal and external stakeholders.
• Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
• Makes decisions regarding own work methods (occasionally in ambiguous situations), requires minimal direction, and receives guidance where needed.
• follows established guidelines/procedures.
• visits Medicaid members in their homes, Supportive Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel.

Requirements

• Registered Nurse (RN) in the state of Illinois without disciplinary action.
• Clinical nursing experience required (hospital, acute care, or home health)
• Ability to travel 75-90% within the state of Illinois
• 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.
• Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
• Bachelor of Science in Nursing (BSN) (preferred)
• 2+ years of experience of in-home case/care management (preferred)
• Experience with Medicare/Medicaid members (preferred)
• Experience with health promotion, coaching, and wellness (preferred)
• Previous managed care experience (preferred)
• Bilingual — English, Spanish (preferred)
• Certification in Case Management (preferred)

Benefits

• 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