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.
- Document clinical assessments and care activities electronically using mobile devices and digital health record systems while working in members' homes.
- Autonomously work within the role and scope.
- 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
Combination remote work at home and onsite/home member visits.
Schedule
We require the ability to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM, and we may request over-time to meet our needs, which requires approval.
Benefits
Includes 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, and many other opportunities.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) 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.
About Us
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.