RN Field Care Manager Nurse

Humana • Roseville, MN

21h • Remote

About The Position

The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Field Care Manager Nurse employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psychosocial health needs. This position is based out of a home office and requires traveling 75–90% of the time within an assigned area in Wayne and/or Macomb County to conduct in-home visits with Medicare/Medicaid members.

Requirements

• Must reside in the state of Michigan (Wayne or Macomb Counties)
• Active Michigan license as a Registered Nurse (RN) or Advanced Practice Registered Nurse (APRN), including Nurse Practitioner (NP) or Clinical Nurse Specialist (CNS), with no disciplinary action
• 2+ years' experience in Health Care and/or Case Management
• Ability to travel to homes and community settings for face-to-face assessments
• Experience working with the adult population, disease management.
• 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
• Excellent keyboard and web navigation skills
• Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel
• Must reside in Michigan with the ability to drive to Wayne and/or Macomb Counties.
• Valid state driver's license and personal vehicle liability insurance.
• Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Nice To Haves

• BSN
• Experience with in home assessment and care coordination experience
• Experience with health promotion, coaching and wellness
• Experience with Medicaid Long Term Care
• Previous managed care experience
• Bilingual- Spanish, Arabic or Chaldean Neo-Aramaic
• Certification in Case Management
• Motivational Interviewing Certification and/or knowledge

Responsibilities

• Managing a caseload and completing assessments with members in their home or community-based setting, as well as telephonically.
• Provides clinical support and guidance, particularly for members with medical complexity.
• Helps develop and coordinate care plans, ensuring that members receive appropriate services to manage their health needs effectively.
• Addresses barriers to care and advocates for optimal member outcomes.
• Reviews, assesses, and completes medical complexity attestations and clinical oversight activities.
• Ensures members receive services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
• Develops and modifies the Individual Care Plan and involves applicable members of the care team (informal caregiver, coach, PCP, etc.) in the care-planning process.
• Focuses on supporting members and/or caregivers using an interdisciplinary approach to access social, housing, educational, and other services—regardless of funding source—to meet identified needs.
• Serves as the primary point of contact for the Interdisciplinary Care Team (ICT) and is responsible for coordinating with the member, ICT participants, and external resources to ensure the member’s needs are met.

Benefits

• Competitive Pay, including eligibility for annual performance-based bonus
• Employee Referral Program
• 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

What This Job Offers

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