Registered Nurse – RN Field Care Manager

Field Care Manager Nurse 2

The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate 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.

This position will be based from a home office and will travel 75% of the time to an assigned area in Wayne or Macomb County, to conduct in home visits with Medicare/Medicaid members.

The Field Care Manager Nurse 2 employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.

Position Responsibilities:

• The RN Field Care Manager will be responsible for managing a case load 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. Help develop and coordinate care plans ensuring that patients receive appropriate services to manage their health needs effectively. Addressing barriers to health care and advocating for optimal member outcomes.
• Will review, assess, and complete medical complexity attestations and clinical oversights.
• Ensures members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
• Develops and modify Individual Care Plan and involve applicable members of the care team in care planning (Informal caregiver, coach, PCP, etc.).
• Focuses on supporting members and/or caregivers utilizing an interdisciplinary approach in accessing social, housing, educational and other services, regardless of funding sources to meet their needs.
• Primary point of contact for the Interdisciplinary Care Team (ICT) and shall be responsible for coordinating with the member, ICT participants, and outside resources to ensure the member's needs are met.

Required Qualifications

• Registered Nurse, Nurse Practitioner, or Clinical Nurse Specialist with a minimum of 2 years experience in health care and/or case management
• Active Michigan Registered Nurse (RN) license with no disciplinary action
• Must reside in the state of Michigan
• 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
• Exceptional communication and interpersonal skills with the ability to quickly build rapport
• Ability to work with minimal supervision within the role and scope
• 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
• Ability to work full-time (40 hours minimum) Mon-Fri
• This role is a part of Humana's Driver Safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.
• Valid driver's license, car insurance, and access to an automobile
• Must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work
• Must have accessibility to high-speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana At Home systems if 25Mx10M
• This role is considered patient facing and is part of Humana At Home's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
• 75% travel is required in this position

Preferred Qualifications

• 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

This position is eligible for an employee referral program.

Our hiring process will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you selected to move forward, you will receive correspondence inviting you to participate in a text screening so we can learn more about your background. Your responses will be reviewed and you will subsequently be informed if you have been selected for a virtual interview with the hiring team.

Scheduled Weekly Hours 40

Pay Range $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer. It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.