Humana Gold Plus Integrated is seeking a Field Care Manager Registered Nurse (RN) to assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families toward resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.
The Field Care Manager Registered Nurse key roles and responsibilities may include the following:
- Identifies and resolves barriers that hinder effective care.
- Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
- Communicates with internal and external stakeholders.
- Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
- Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.
- Follows established guidelines/procedures.
- Visits Medicaid members in their homes, Supportive Living Facilities, and/or Long-Term Care Facilities and other care settings - 75-90% local travel (see Additional Information section).
Upon hire, this role will be assigned to support either MLTSS, LTSS, PI or TOC based on business needs.Required Qualifications- Must reside in the state of Illinois.
- Registered Nurse in the state of Illinois without disciplinary action.
- 2+ years of experience of in-home case/care management.
- Experience working with the adult population.
- 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.
- Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
- Excellent keyboard and web navigation skills.
Preferred Qualifications - Bachelor of Science in Nursing (BSN).
- 3+ years of in-home assessment and care coordination experience.
- Experience with Medicare/Medicaid members.
- Experience with health promotion, coaching, and wellness.
- Previous managed care experience.
- Bilingual - English, Spanish.
- Certification in Case Management.
- Motivational Interviewing Certification and/or knowledge in area.
Additional Information - Workstyle/Travel: This is a Hybrid - Home position that requires occasional onsite work at the market office in Schaumburg, Illinois, as well 75-90% travel in the field to visit members throughout Illinois.
- Work Schedule: Typically, Monday - Friday; 8am - 5pm CST
- Travel: Requires travel, 75-90% of the time
- Benefits: Benefits are effective on day 1. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more.
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours40
Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$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.
Description of BenefitsHumana, 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
