Field Care Manager - RN

Humana • Work at Home - Illinois, IL

13d • $71,100 - $97,800 • Hybrid

About The Position

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.

Requirements

• Applicants must reside in Edgar, Iroquois, Kankakee, Vermilion County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes: 60901, 60910, 60911, 60912, 60913, 60914, 60915, 60917, 60918, 60922, 60924, 60926, 60927, 60928, 60930, 60931, 60932, 60935, 60938, 60939, 60940, 60941, 60942, 60944, 60945, 60948, 60950, 60951, 60953, 60954, 60955, 60956, 60958, 60960, 60961, 60963, 60964, 60966, 60967, 60968, 60969, 60970, 60973, 60974, 61810, 61811, 61812, 61814, 61817, 61831, 61832, 61833, 61834, 61841, 61844, 61846, 61848, 61850, 61857, 61858, 61865, 61870, 61876, 61883, 61917, 61924, 61932, 61933, 61940, 61944, 61949, 61955
• 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.
• 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.

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 member 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.
• 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.

Benefits

• medical, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level