Field Care Manager - RN
About the Role
The Field Care Manager Registered Nurse (RN) 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. 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.
Responsibilities
- 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.
- Creates plans of care.
- Communicates with internal and external stakeholders.
- Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
- 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
- Applicants must reside in Cook, Lake or McHenry County, IL, within one of the specified ZIP codes or within a 10-mile radius.
- 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.
- 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.
Preferred Qualifications
- Bachelor of Science in Nursing (BSN).
- 2+ years of experience in in-home case/care management.
- Experience with Medicare/Medicaid members.
- Experience with health promotion, coaching, and wellness.
- Previous managed care experience.
- Bilingual — English, Spanish.
- Certification in Case Management.
- Motivational Interviewing Certification and/or knowledge in area.
Additional Information
Workstyle/Travel: This is a Hybrid – Home position that requires occasional onsite work at the market office in Schaumburg, Illinois, as well as 75-90% travel in the field to visit members.
Work Schedule: Monday - Friday; 8am - 5pm CST.
This role is considered patient-facing and is part of Humana’s Tuberculosis (TB) screening program. If selected, you will be required to be screened for TB. This role is also part of Humana's driver safety program, requiring a valid state driver's license and personal vehicle liability insurance with specific minimum limits.
Work at Home Requirements: Self-provided internet service must meet minimum download and upload speeds, and work from a dedicated space to protect member PHI / HIPAA information.
Pay
The compensation range is $78,200 - $107,600 per year. This role is eligible for a bonus incentive plan based on company and/or individual performance.
Benefits
Humana offers competitive benefits, including medical, dental, and vision insurance, 401(k) retirement savings plan, paid time off, company and personal holidays, paid parental and caregiver leave, short-term and long-term disability, life insurance, and more.
About Us
Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company, making it easier for millions to achieve their best health through Humana insurance services and CenterWell healthcare services. Learn more at Humana.com and CenterWell.com.