Field Care Manager Physical Health RN

Humana • Louisiana, MO

22d • Hybrid

About The Position

Become a part of our caring community and help us put health first The Field Care Manager Physical Health RN /Field Care Manager Nurse assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. As a Field Care Manager, you will employ a comprehensive, member-focused approach to support individuals in managing physical, environmental, and psycho-social health challenges. Reporting to the Manager of Care Management within the Medicaid Team, you will play a pivotal role in identifying and addressing barriers to effective care, ensuring members receive the resources and support necessary for optimal wellbeing. In this role you will: Engage and empower members and their families by utilizing holistic strategies to support recovery, health maintenance, and participation in wellness programs. Conduct telephonic and in-person assessments to evaluate member needs, guiding them and their families toward appropriate resources to achieve and sustain their best possible health outcomes. Continuously monitor member progress, utilizing regular assessments and evaluations to ensure advancement toward individualized care goals. Develop and implement personalized care plans based on clinical judgement, changes in member health status, psychosocial factors, and identified triggers, providing targeted clinical interventions as needed. Collaborate effectively with healthcare providers, community organizations, and services to facilitate quality, cost-effective care and support for members. Coordinate delivery of essential services, addressing physical health needs, social determinants of health, and additional value-added benefits to comprehensively support members. Facilitate communication and coordination across the interdisciplinary care team, including primary care providers, to ensure seamless transitions of care and integrated service delivery. Demonstrate an understanding of departmental, segment, and organizational strategies and objectives, aligning daily practices with broader operational goals. Accurately document and submit incident reports in accordance with organizational policies and regulatory requirements. Use your skills to make an impact

Requirements

• Unrestricted Registered Nurse license in the state of Louisiana with 2 years of experience of 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.
• Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel
• Exceptional communication and interpersonal skills with the ability to quickly build rapport
• Ability to work with minimal supervision within the role and scope
• Must reside in Louisiana and can work a full-time (40 hours minimum) flexible work schedule and travel to member's residence within 50 miles

Nice To Haves

• BSN
• 3+ years of experience
• Experience with health promotion, coaching and wellness
• Previous managed care experience
• Bilingual — English, Spanish
• Certification in Case Management
• Motivational Interviewing Certification or knowledge

Responsibilities

• Engage and empower members and their families by utilizing holistic strategies to support recovery, health maintenance, and participation in wellness programs.
• Conduct telephonic and in-person assessments to evaluate member needs, guiding them and their families toward appropriate resources to achieve and sustain their best possible health outcomes.
• Continuously monitor member progress, utilizing regular assessments and evaluations to ensure advancement toward individualized care goals.
• Develop and implement personalized care plans based on clinical judgement, changes in member health status, psychosocial factors, and identified triggers, providing targeted clinical interventions as needed.
• Collaborate effectively with healthcare providers, community organizations, and services to facilitate quality, cost-effective care and support for members.
• Coordinate delivery of essential services, addressing physical health needs, social determinants of health, and additional value-added benefits to comprehensively support members.
• Facilitate communication and coordination across the interdisciplinary care team, including primary care providers, to ensure seamless transitions of care and integrated service delivery.
• Demonstrate an understanding of departmental, segment, and organizational strategies and objectives, aligning daily practices with broader operational goals.
• Accurately document and submit incident reports in accordance with organizational policies and regulatory requirements.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed