Field Care Manager - RN

HumanaWaukegan, IL
36dHybrid

About The Position

Become a part of our caring community and help us put health first The Field Care Manager Registered Nurse (RN) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families toward resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues. The Field Care Manager Registered Nurse key roles and responsibilities may include the following: Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. Create plans of care. Communicates with internal and external stakeholders. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Visits Medicaid members in their homes, Supportive Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel (see Additional Information section). Use your skills to make an impact

Requirements

  • Must reside in the state of Illinois preferably in the Lake County area.
  • Registered Nurse (RN) in the state of Illinois without disciplinary action.
  • Clinical nursing experience required (hospital, acute care, or home health
  • Ability to travel 75-90% within the state of Illinois
  • Knowledge of community health and social service agencies and additional 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/software programs including electronic medical records.
  • Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
  • Humana's Tuberculosis (TB) screening Program This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
  • Humana's Driver Safety Program This role is a part of Humana's Driver Safety program and therefore requires and individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.

Nice To Haves

  • Bachelor of Science in Nursing (BSN).
  • 2+ years of experience of in-home case/care management
  • Experience with Medicare/Medicaid members.
  • Experience with health promotion, coaching, and wellness.
  • Previous managed care experience.
  • Bilingual — English, Spanish.
  • Certification in Case Management.
  • Motivational Interviewing Certification and/or knowledge in area.

Responsibilities

  • Identifies and resolves barriers that hinder effective care.
  • Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
  • Create plans of care.
  • Communicates with internal and external stakeholders.

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.
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