Field Care Manager, RN

Humana•Harrisburg, IL

7d•$71,100 - $97,800•Hybrid

About The Position

Humana is hiring a Field Care Manager, Registered Nurse, to support Medicaid members in Southern Illinois. The role identifies and resolves barriers to effective care, monitors members’ progress toward desired outcomes through assessments and evaluations, creates plans of care, and communicates with internal and external stakeholders. The position follows established guidelines and procedures and applies an understanding of department, segment, and organizational strategy and operating objectives. The manager visits members in their homes, Supportive Living Facilities, Long-Term Care Facilities, and other care settings. The position is hybrid home-based, with occasional onsite work at the market office in Schaumburg, Illinois, and 75–90% local field travel. The schedule is Monday through Friday, 8 a.m. to 5 p.m. Central Time, 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-based work requires reliable internet and a dedicated workspace that protects member PHI and HIPAA information.

Requirements

Reside in one of the listed Illinois counties—Franklin, Union, Jackson, Johnson, Massac, Hamilton, White, Alexander, Williamson, Saline, Hardin, Pope, Gallatin, or Pulaski—within one of the specified ZIP codes or within 10 miles of one.
Hold an Illinois Registered Nurse (RN) license without disciplinary action.
Have clinical nursing experience in a hospital, acute care, or home health setting.
Be able to travel 75–90% within Illinois.
Have knowledge of community health and social service agencies and other community resources.
Be able to use various electronic information applications and software, including electronic medical records.
Have a valid state driver's license and maintain personal vehicle liability insurance at the required limits.
Meet the home-work internet requirements: at least 25 Mbps download and 10 Mbps upload, and work from a dedicated space without ongoing interruptions.

Nice To Haves

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

Responsibilities

Identify and resolve barriers that hinder effective care.
Continuously monitor patient care through assessments and evaluations to ensure members are progressing toward desired outcomes.
Create plans of care.
Communicate with internal and external stakeholders.
Understand department, segment, and organizational strategy and operating objectives, including their connections to related areas.
Follow established guidelines and procedures.
Visit Medicaid members in their homes, Supportive Living Facilities, Long-Term Care Facilities, and other care settings.