Nurse Behavioral Health Field Care Manager

Humana•Carolina, SC

2d•Remote

About The Position

The Field Care Manager Nurse 2 assesses and evaluates members’ needs and requirements to help achieve or maintain optimal wellness. The role guides members and families toward appropriate resources and facilitates interaction with resources supporting members’ care and wellbeing. The nurse uses varied strategies, approaches, and techniques to manage members’ physical, environmental, and psychosocial health issues, identifies and resolves barriers to effective care, and monitors progress toward desired outcomes through ongoing assessments and evaluations. The role may create member care plans and requires understanding departmental, segment, and organizational strategy and operating objectives and their relationships to related areas. This is a remote position based in South Carolina, with field travel approximately 50% of the time for collaboration and face-to-face engagement with staff, providers, members, and families. Occasional travel to Humana offices for training or meetings may also be required. The schedule is Monday through Friday, 8:00 AM to 5:00 PM Eastern Time, with 40 scheduled hours per week. The position reports to the Manager, Care Management.

Requirements

Bachelor’s degree in nursing (BSN).
Active nursing license in South Carolina without disciplinary action.
Must reside in South Carolina.
At least 2 years of case or care management experience.
At least 45 documented training hours related to behavioral health issues and treatment.
Knowledge of community health and social service agencies and additional community resources.
Ability to use electronic information applications and software programs, including electronic medical records.
For home work, provide internet service with at least 25 Mbps download and 10 Mbps upload speed.
Work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information.

Nice To Haves

At least 3 years of in-home assessment and care coordination experience.
Experience with health promotion, coaching, and wellness.
Previous managed care experience.
Bilingual in English and Spanish.
Certification in Case Management.
Motivational Interviewing certification or knowledge.

Responsibilities

Assess and evaluate members’ needs and requirements to support optimal wellness.
Guide members and families toward appropriate care and wellbeing resources and facilitate their interaction with those resources.
Manage members’ physical, environmental, and psychosocial health issues using a variety of strategies, approaches, and techniques.
Identify and resolve barriers that hinder effective care.
Continuously monitor patient care through assessments and evaluations to ensure progress toward desired outcomes.
Create member care plans as needed.
Travel to collaborate and conduct face-to-face meetings with staff, providers, members, and their families.