RN Field Case Manager Nurse - Western KY
About The Position
The Field Care Manager Nurse 2 assesses and evaluates member needs to support health and wellness outcomes. You will partner with members, families, and care teams to develop and implement individualized care plans, coordinate services, and connect members to resources that address both clinical and social needs. This is a field-based and telephonic position, where in-person versus telephonic engagement is guided by member needs, contractual requirements, and regulatory expectations. The Field Care Manager Nurse 2 performs advanced nursing activities including: Conduct comprehensive assessments to identify member needs, risks, and barriers to care Develop and manage member-centered care plans with measurable goals and outcomes Coordinate care across providers, community support systems Monitor progress and adjusting interventions to ensure outcomes Address social determinants of health, including housing, transportation, and access to care Utilize evidence-based care pathways to guide clinical decision-making Engage members using coaching and motivational interviewing techniques. Field-Based Responsibilities: You will require travel to complete in-person visits with members in different environments to support holistic assessment and care coordination. Visits may occur in: Members' homes, Group homes or community living settings, Hospitals or skilled nursing facilities, Homeless shelters or community locations, Correctional facilities (e.g., prisons or jails) as part of reentry and transition planning. You will also conduct telephonic outreach and follow-up as part of ongoing care management. Important: Field visits—including those in nontraditional settings such as correctional facilities—are an expected and essential function of this role to ensure continuity of care and successful community reintegration. Use your skills to make an impact.
Requirements
- Must reside in Western Kentucky- preferably in the surrounding counties of Caldwell, Lyon, Crittenden, Livingston, Hopkins, Christian, or Trigg.
- Active Registered Nurse (RN) license
- Bachelor's degree in nursing or healthcare/human services related field.
- 2+ years of experience working as a case manager or care manager
- Experience working with adult populations
- Knowledge of community health services, social services, and available resources
- Proficiency in Microsoft Office (Word, Outlook, Excel) and electronic medical records
- Valid state driver's license
- Maintain personal vehicle liability insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per accident /$10,000 for property damage or whichever is higher.
Nice To Haves
- 3+ years of care coordination or community-based experience
- Managed care experience
- Experience with health coaching and wellness promotion
- Case Management Certification (CCM or similar)
- Motivational Interviewing training
- Bilingual (English/Spanish)
Responsibilities
- Conduct comprehensive assessments to identify member needs, risks, and barriers to care
- Develop and manage member-centered care plans with measurable goals and outcomes
- Coordinate care across providers, community support systems
- Monitor progress and adjusting interventions to ensure outcomes
- Address social determinants of health, including housing, transportation, and access to care
- Utilize evidence-based care pathways to guide clinical decision-making
- Engage members using coaching and motivational interviewing techniques
- Complete in-person visits with members in different environments to support holistic assessment and care coordination
- Conduct telephonic outreach and follow-up as part of ongoing care management
Benefits
- 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
- bonus incentive plan
- telephone equipment appropriate to meet the business requirements for their position/job
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
