RN Field Case Manager Nurse - Western KY
About the role
Become a part of our caring community and help us put health first.
Responsibilities
- Assesses and evaluates member needs to support health and wellness outcomes.
- Partners with members, families, and care teams to develop and implement individualized care plans, coordinate services, and connect members to resources that address both clinical and social needs.
- Performs advanced nursing activities including: Conduct comprehensive assessments to identify member needs, risks, and barriers to care; Develop and manage member-centered care plans with measurable goals and outcomes; Coordinate care across providers, community support systems; Monitor progress and adjust interventions to ensure outcomes; Address social determinants of health, including housing, transportation, and access to care; Utilize evidence-based care pathways to guide clinical decision-making; Engage members using coaching and motivational interviewing techniques.
- Requires travel to complete in-person visits with members in different environments to support holistic assessment and care coordination. Visits may occur in members' homes, group homes or community living settings, hospitals or skilled nursing facilities, homeless shelters or community locations, correctional facilities (e.g., prisons or jails) as part of reentry and transition planning. Also conducts telephonic outreach and follow-up as part of ongoing care management.
Requirements
- Must reside in Western Kentucky- preferably in the surrounding counties of Caldwell, Lyon, Crittenden, Livingston, Hopkins, Christian, or Trigg.
- Active Registered Nurse (RN) license.
- Bachelor's degree in nursing or healthcare/human services related field.
- 2+ years of experience working as a case manager or care manager.
- Experience working with adult populations.
- Knowledge of community health services, social services, and available resources.
- Proficiency in Microsoft Office (Word, Outlook, Excel) and electronic medical records.
Preferred Qualifications
- 3+ years of care coordination or community-based experience.
- Managed care experience.
- Experience with health coaching and wellness promotion.
- Case Management Certification (CCM or similar).
- Motivational Interviewing training.
- Bilingual (English/Spanish).
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.
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. $71,100 - $97,800 per year.
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. 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
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. Learn more about what we offer at Humana.com and at CenterWell.com.