Hybrid RN, Field Care Manager

at Humana

• Job title: RN, Field Care Manager
• Job type: Full Time
• Experience level: Junior, Mid level
• Salary: $71,100 - $97,800 per year
• Degree requirement: Associate's Degree
• Location requirements: Hybrid, Roanoke, United States

About the role

• RN, Field Care Manager providing face-to-face and telephonic health assessments for members in Virginia. Collaborating on care plans to manage health needs effectively.

Responsibilities

• Perform primarily face-to-face and telephonic assessments to adult and pediatric members.
• Evaluate member's needs to achieve and/or maintain optimal wellness.
• Employ a variety of strategies, approaches, and techniques to manage a member's health issues and identifies and resolves barriers that hinder effective care.
• Ensure members are progressing towards desired outcomes by continuously monitoring care through use of assessment, data, conversations with member, and active care planning.
• Manage a case load and completing assessments with members in their home or community-based setting, as well as telephonically.
• Provide clinical support and guidance, particularly for members with medical complexity.
• Develop and coordinate care plans ensuring that patients receive appropriate services to manage their health needs effectively.
• Collaborate with Community Health Workers (CHW), Housing Specialist and other internal and external agencies for health-related social needs (HRSN).

Requirements

• Active Registered Nurse (RN) license in the Commonwealth of Virginia without disciplinary action.
• Two (2) years of prior experience in health care and/or case management.
• One (1) year of experience working directly with individuals who meet the Cardinal Care Priority Population criteria (adults, pediatrics populations at risk for chronic medical conditions and high social needs).
• Strong advocate and respect for members at all levels of care.
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.
• Exceptional oral and written communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
• Ability to work with minimal supervision within the role and scope.
• Ability to work a full-time schedule.
• This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
• Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families.
• This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance.

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