RN, Field Care Manager (LTSS/ABD)

About the role

Become a part of our caring community Humana Healthy Horizons in Virginia is seeking RN, Field Care Managers (Field Care Manager Nurse 2) to perform telephonic and face-to-face assessments and evaluations of the needs and requirements of our long-term services and support (LTSS) and aged, blind and disabled (ABD) member population.

Responsibilities

• Supports achieving and/or maintaining optimal wellness by guiding members/families toward and facilitating interaction with resources appropriate for the care and well-being of members.
• Reviews, analyzes, assesses, and attests for medical complexity.
• Develops member individualized care plans.
• Employs a variety of evidence-based strategies, approaches, and techniques to manage a member's physical, environmental, and psychosocial health.
• Identifies and resolves barriers that hinder effective care.
• Ensures member is progressing towards desired outcomes by continuously monitoring member care through comprehensive assessments and/or evaluations.
• Makes autonomous decisions, occasionally in ambiguous situations.
• Requires minimal direction and receives guidance where needed.
• Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
• Follows established guidelines/procedures.

Requirements

• Must reside in Richmond, Virginia area and be available to see members in the community.
• Active Registered Nurse (RN) license in the Commonwealth of Virginia without disciplinary action.
• 2 years of prior experience in health care and/or case management.
• 1 year of experience working with individuals who are at risk for chronic medical conditions & high social needs (adult and pediatric populations).
• Knowledge of community health and social service agencies and additional community resources.
• Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel with the ability to use a variety of electronic information applications/software programs including electronic medical records.
• Excellent keyboard and web navigation skills.
• Exceptional communication and interpersonal skills with the ability to quickly build rapport.
• Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families.

Preferred Qualifications

• Bachelor of Science in Nursing (BSN).
• Certification in Case Management (CCM).
• Previous managed care experience.
• Experience with in-home assessment and care coordination.
• Experience with disease management, health promotion, coaching and wellness.
• Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance.

Benefits

See “Additional Information” section for more information.

Pay

$71,100 - $97,800 per year

Schedule

40 hours a week - Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST).

Travel

50 - 75% field interactions with members, and their families and providers Richmond, VA area. May need to attend onsite meetings occasionally in Humana Healthy Horizons office in Glen Allen, VA.

Workstyle

Field - This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.