Field Care Manager Physical Health Registered Nurse

Description

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.

Responsibilities

Position Responsibilities:

 

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. Identifies and resolves barriers that hinder effective care. 

 

• This role requires meeting members in their home and is considered member facing.
• Utilize a holistic, member-centric approach to engage and motivate members and their families through recovery and health and wellness programs.
• Performs telephonic and face to face assessments and evaluations of the member’s needs to achieve and/or maintain an optimal wellness state by guiding members/families toward the appropriate resources for the care and overall wellbeing of the member. 
• Ensures member is progressing towards desired outcomes by continuously monitoring care through assessments and/or evaluations. 
• Perform clinical intervention through the development of a care plan specific to each member based on clinical judgement, changes in members’ health or psychosocial wellness, and identified triggers
• Collaborates with providers and community services to promote quality and cost-effective outcomes. 
• Coordinates delivery of needed services/supports for Physical Health, Social Determinant of Health and value added benefits.
• Coordinates across the transdisciplinary care team (at a minimum the PCP) and transitions of care
• Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.  
• Submits incident reports

 

               

Required Qualifications   

• Licensed Registered Nurse (RN) in the state of Louisiana without restrictions 
• Minimum two (2) years of experience in nursing, social work, or healthcare field (discharge planning or case management or care coordination and/or home/community health experience)  
• Experience working with Medicare, Medicaid and dual-eligible populations 
• Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel 
• Ability to use a variety of electronic information applications/software programs including electronic medical records 
• 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 travel to see members in their homes, doctor office or any location that is mutually agreed with the member
• Must reside in Louisiana

 

Preferred Qualifications   

• Case Management Certification (CCM) or willingness to obtain within two (2) years of employment  
• Field Case Management Experience  
• Health Plan experience 
• Knowledge of community health and social service agencies and additional community resources
• Experience with health promotion, coaching and wellness 

 

Work-At-Home Requirements

 

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• 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

 

Workstyle: Combination remote work at home and onsite/home member visits 

Training: Virtual, interactive, and engaging with camera on.  Expectation 5-6 weeks

Hours: Must be able to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs. 

Travel: Must be willing to commute to meet with members in Louisiana 

Location: There are 2 positions at this time. Region 2 & 3

• Region 3: serves the residents