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).

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.

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