Field Care Manager Nurse

Humana•Crystal Lake, IL

6d•$71,100 - $97,800•Hybrid

About The Position

Humana Gold Plus Integrated is seeking a Field Care Manager Registered Nurse (RN) to assess and evaluate members’ needs and guide members and families toward resources that support members’ care and wellbeing. The nurse uses a variety of strategies and techniques to manage members’ physical, environmental, and psychosocial health issues. The position supports either MLTSS or LTSS, based on business needs, and involves visiting Medicaid members in their homes, Supportive Living Facilities, Long-Term Care Facilities, and other care settings. This is a hybrid-home position requiring occasional onsite work at the market office in Schaumburg, Illinois, and 75–90% local field travel throughout Illinois. The typical schedule is Monday through Friday, 8 a.m. to 5 p.m. CST, for 40 hours per week. The role is patient-facing and requires TB screening. It also requires a valid state driver’s license and personal vehicle liability insurance. Home or hybrid-home employees must have qualifying internet service and a dedicated workspace that protects member PHI/HIPAA information. Occasional travel to Humana offices for training or meetings may also be required. The position offers a stated annual base-pay range of $71,100–$97,800 and is eligible for a bonus incentive plan. Benefits are effective on day one for full-time associates and include medical, dental, vision, 401(k), supplemental insurance, tuition assistance, paid time off and holidays, paid parental and caregiver leave, disability and life insurance, and other benefits.

Requirements

Must reside in Illinois.
Must hold an Illinois Registered Nurse license without disciplinary action.
At least 2 years of in-home case or care management experience.
Experience working with adults.
Knowledge of community health and social service agencies and other community resources.
Exceptional communication and interpersonal skills, with the ability to quickly build rapport.
Ability to work with minimal supervision within the role and scope.
Ability to use a variety of electronic information applications and software, including electronic medical records.
Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
Excellent keyboard and web navigation skills.
Valid state driver’s license and personal vehicle liability insurance meeting the stated coverage requirements.
Ability to meet the stated home-work internet requirements and work from a dedicated space that protects member PHI/HIPAA information.
Must complete TB screening if selected.

Nice To Haves

Bachelor of Science in Nursing (BSN).
At least 3 years of in-home assessment and care coordination experience.
Experience with Medicare or Medicaid members.
Experience with health promotion, coaching, and wellness.
Previous managed care experience.
Bilingual in English and Spanish.
Certification in Case Management.
Motivational Interviewing certification and/or knowledge.

Responsibilities

Assess and evaluate members’ needs and requirements to help them achieve or maintain optimal wellness.
Guide members and families toward resources appropriate for members’ care and wellbeing.
Use strategies, approaches, and techniques to manage members’ physical, environmental, and psychosocial health issues.
Identify and resolve barriers that hinder effective care.
Monitor care through assessments and evaluations to ensure members are progressing toward desired outcomes.
Create plans of care.
Communicate with internal and external stakeholders.
Visit Medicaid members in their homes, Supportive Living Facilities, Long-Term Care Facilities, and other care settings.
Support either MLTSS or LTSS, as assigned based on business needs.