Become a part of our caring community and help us put health first
 

The Field Care Manager Registered Nurse (RN) assesses and evaluates 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 member is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
• Create plans of care.
• 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), 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).

Use your skills to make an impact
 

Required Qualifications

• Applicants must reside in Kane or DeKalb County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes: 60109, 60110, 60111, 60112, 60115, 60118, 60119, 60120, 60121, 60123, 60124, 60129, 60134, 60135, 60136, 60140, 60142, 60144, 60145, 60146, 60147, 60150, 60151, 60170, 60174, 60175, 60177, 60178, 60183, 60504, 60505, 60506, 60507, 60510, 60511, 60520, 60539, 60542, 60548, 60550, 60552, 60554, 60556, 60568
• Registered Nurse (RN) in the state of Illinois without disciplinary action.
• Clinical nursing experience required (hospital, acute care, or home health
• Ability to travel 75-90% within the state of Illinois
• 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.
• Humana's Tuberculosis (TB) screening Program This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
• Humana's Driver Safety Program This role is a part of Humana's Driver Safety program and therefore requires and 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.

Preferred Qualifications

• Bachelor of Science in Nursing (BSN).
• 2+ years of experience of in-home case/care management
• 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
• Work Schedule: Monday - Friday; 8am - 5pm CST

Work at Home Requirements

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Interview Format

As part of our hiring process, we will be using interviewing technology provided by Hire