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The Field Care Manager Nurse (Physical Health) plays a critical role in assessing and coordinating care to support members in achieving and maintaining health outcomes. The Field Care Manager uses a holistic, member-centered approach. This approach involves partnering with members and their families to identify needs, address barriers to care, and connect them with appropriate clinical, community, and social resources.

We are looking for clinical judgment, independence, and comfortable operating in evolving environments, as work assignments are varied and often require interpretation and determination of the most appropriate course of action. The Field Care Manager addresses members' physical, environmental, and psychosocial health needs while promoting quality, cost-effective care. You will report to the Manager, Care Management and support members on the Medicaid Team.

The Field Care Manager Nurse identifies and mitigates barriers to care, facilitates coordination across settings, and promotes continuity of care to improve health outcomes.

You will:

• Use a holistic, member-centric approach to engage and motivate members and their families through recovery, health, and wellness programs.
• Perform telephonic and face-to-face assessments to evaluate members' needs and support achievement and maintenance of wellness by connecting members and families to appropriate resources.
• Ensure members are progressing toward desired health outcomes through ongoing monitoring, reassessments, and evaluations.
• Provide clinical interventions through the creating and implemention of individualized care plans based on clinical judgment, changes in physical or psychosocial health, and identified triggers.
• Collaborate with providers, caregivers, and community resources to promote high-quality, cost-effective outcomes.
• Coordinate delivery of needed services and support related to Physical Health, Social Determinants of Health, and value-added benefits.
• Partner across the transdisciplinary care team, including primary care providers, and support transitions of care.
• Demonstrate understanding of department, segment, and organizational strategies and operating goals, and how they align with related areas.
• Submit incident reports following organizational and regulatory requirements.
• You will cover Region 8, this area includes the following Parishes: Union, Jackson, Morehouse, West Carroll, East Carroll, Madison, Richland, Tensas, Franklin, Ouachita, Lincoln and Caldwell.

Use your skills to make an impact
 

Required Qualifications

• Unrestricted Registered Nurse license in the state of Louisiana with 2 years of experience of in-home case/care management
• Experience working with all populations (youth, adult, geriatric)
• Knowledge of community health and social service agencies and additional community resources
• Experience using a variety of electronic information applications/software programs including electronic medical records with excellent keyboard and web navigation skills and the ability to provide narrative documentation.
• Must document clinical assessments and care activities electronically using mobile devices and digital health record systems while working in members' homes.
• Engage members and caregivers during in‑home visits to conduct assessments, explain care plans, and support trust‑based relationships.
• Autonomously work within the role and scope
• Must reside in Louisiana and can work a full-time (40 hours minimum) flexible work schedule and travel to member's residence within 50 miles

Preferred Qualifications

• BSN
• 3+ years of experience
• Experience with health promotion, coaching and wellness
• Previous managed care experience
• Bilingual — English, Spanish
• Certification in Case Management
• Motivational Interviewing Certification or knowledge

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

Hours: We require the ability to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM, and we may request over-time to meet our needs, which requires approval.

Screening: We consider this role patient facing and make it part of Humana's Tuberculosis (TB) screening program. If selected for this role, we will screen you for TB.

Travel, Driver's License, Transportation, Insurance: You must be willing to travel. This travel will be at least 75% of the time within your assigned Region where you reside. The purpose of this travel is to conduct field visits with members in your assigned area. Travel requirements may vary based on member tier leve