Field Care Manager RN
About the role
The Field Care Manager Nurse (Physical Health) plays a critical role in assessing and coordinating care to support members in achieving and maintaining health outcomes. This role involves a holistic, member-centered approach, where the Field Care Manager partners with members and their families to identify needs, address barriers to care, and connect them with appropriate clinical, community, and social resources.
Responsibilities
- Use a holistic, member-centric approach to engage and motivate members and their families through recovery, health, and wellness programs.
- Perform telephonic and face-to-face assessments to evaluate members' needs and support achievement and maintenance of wellness by connecting members and families to appropriate resources.
- Ongoing monitoring, reassessments, and evaluations to ensure members are progressing toward desired health outcomes.
- Create and implement individualized care plans based on clinical judgment, changes in physical or psychosocial health, and identified triggers.
- Collaborate with providers, caregivers, and community resources to promote high-quality, cost-effective outcomes.
- Coordinate delivery of needed services and support related to Physical Health, Social Determinants of Health, and value-added benefits.
- Partner across the transdisciplinary care team, including primary care providers, and support transitions of care.
- Demonstrate understanding of department, segment, and organizational strategies and operating goals, and how they align with related areas.
- Submit incident reports following organizational and regulatory requirements.
Requirements
- Unrestricted Registered Nurse license in the state of Louisiana with 2 years of experience in 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.
- Experience using 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.
- Autonomously work within the role and scope.
- Must reside in Louisiana and can work a full-time (40 hours minimum) flexible work schedule and travel to member's residence within 50 miles.
Preferred Qualifications
- Bachelor of Science in Nursing (BSN).
- 3+ years of experience.
- Previous managed care experience.
- Bilingual — English, Spanish.
- Certification in Case Management.
- Motivational Interviewing Certification or knowledge.
Workstyle
You will cover either Region 8 or Region 7, both of which include specific parishes. You must reside in Louisiana and be willing to travel up to 75% of the time within your assigned region. You must have a valid state driver's license and personal vehicle liability insurance.
Benefits
Humana offers a comprehensive benefits package that includes medical, dental, and vision benefits, a 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. The pay range for this role is $71,100 - $97,800 per year, and there is an opportunity for a bonus incentive plan based on individual performance.
About Us
About Humana: Humana Inc. is a leading U.S. healthcare company that makes it easier for millions of people to achieve their best health. Through our Humana insurance services and CenterWell healthcare services, we deliver the care and service our members need, when they need it. Our efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large.