Field Care Manager Nurse

Humana

Remote Illinois$78,200 - $107,600Full-timeRemotePosted 29 days ago

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Humana Gold Plus Integrated is seeking a Field Care Manager Registered Nurse (RN) to assess and evaluate 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. The Field Care Manager Nurse employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.

The Field Care ManagerĀ RegisteredĀ NurseĀ key roles and responsibilities may include the following:Ā 

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  • IdentifiesĀ and resolves barriers that hinder effective care.Ā Ā 

  • EnsuresĀ patient is progressingĀ towards desired outcomes by continuouslyĀ monitoringĀ patient care through assessments and/or evaluations.Ā 

  • CreatesĀ plansĀ ofĀ care.Ā 

  • Communicates with internal and external stakeholders.Ā 

  • Understands department, segment, and organizational strategy and operatingĀ objectives, including their linkages to related areas.Ā 

  • Makes decisionsĀ regardingĀ own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.Ā 

  • Follows establishedĀ guidelines/procedures.Ā 

  • VisitsĀ Medicaid members in their homes,Ā SupportiveĀ Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel (see Additional Information section).Ā 

Upon hire, this role will be assigned to support either MLTSS or LTSS based on business needs.


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Required QualificationsĀ 

  • MustĀ resideĀ inĀ theĀ state of Illinois.

  • Registered Nurse in the state of Illinois without disciplinary action.Ā 

  • 2+ years ofĀ experience ofĀ in-home case/care management.Ā 

  • Experience working with the adult population.Ā 

  • Knowledge of community health and social service agencies andĀ additionalĀ community resources.Ā 

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

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

  • Ability to use a variety of electronic informationĀ applications/softwareĀ programs including electronic medical records.Ā 

  • Intermediate toĀ Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.Ā 

  • Excellent keyboard and web navigation skills.Ā 

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Preferred QualificationsĀ 

  • Bachelor of Science in Nursing (BSN).Ā 

  • 3+ years of in-home assessment and care coordination experience.Ā 

  • Experience with Medicare/Medicaid members.Ā 

  • Experience with health promotion, coaching, and wellness.Ā 

  • PreviousĀ managed care experience.Ā 

  • Bilingual — English, Spanish.Ā 

  • Certification in Case Management.Ā 

  • Motivational Interviewing Certification and/or knowledge in area.Ā Ā 

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Additional InformationĀ Ā 

  • Workstyle/Travel:Ā This is a Hybrid – Home position that requires occasional onsite work atĀ theĀ market office in Schaumburg,Ā Illinois, asĀ wellĀ 75-90% travel in the field to visit membersĀ throughout Illinois.

  • Work Schedule:Ā Typically,Ā Monday - Friday; 8am - 5pm CSTĀ 

  • Travel:Ā Requires travel, 75-90% of the timeĀ 

  • Benefits: Benefits are effective on day 1.Ā Full timeĀ Associates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuitionĀ assistanceĀ and much more.Ā 

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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.

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. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. 

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 suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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

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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.


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$78,200 - $107,600 per year


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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, ā€œHumanaā€) 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.


About Us
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About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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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.

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