Field Care Manager Registered Nurse
Humana
Field Care Manager Registered Nurse
Humana
Sells Medicare health plans and runs senior clinics
The Field Care ManagerRegisteredNursekey roles and responsibilities may include the following:
Identifiesand resolves barriers that hinder effective care.
Ensurespatient is progressingtowards desired outcomes by continuouslymonitoringpatient care through assessments and/or evaluations.
Createsplansofcare.
Communicates with internal and external stakeholders.
Understands department, segment, and organizational strategy and operatingobjectives, including their linkages to related areas.
Makes decisionsregardingown work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.
Follows establishedguidelines/procedures.
VisitsMedicaid members in their homes,SupportiveLiving 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 or LTSS based on business needs.
Required Qualifications
Mustresideinthe state of Illinois.
Registered Nurse in the state of Illinois without disciplinary action.
2+ years ofexperience ofin-home case/care management.
Experience working with the adult population.
Knowledge of community health and social service agencies andadditionalcommunity 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 informationapplications/softwareprograms including electronic medical records.
Intermediate toAdvanced 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.
Previousmanaged 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 atthemarket office in Schaumburg,Illinois, aswell75-90% travel in the field to visit membersthroughout 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 timeAssociates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuitionassistanceand much more.
This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.
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 Hours
40Pay Range
The 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 yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of Benefits
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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
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. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana sells health insurance paid for by government programs, chiefly Medicare Advantage plans that private insurers run for Americans 65 and older in place of traditional Medicare. It ranks among the largest Medicare Advantage insurers in the country and also runs Medicaid plans for low-income families in several states. Its CenterWell business operates senior primary care clinics, a mail-order pharmacy and home health services, so many members get care from a company the insurer owns. Medicare and states pay Humana a set monthly amount per member, and it keeps the difference between those payments and members' medical costs. Humana was founded in 1961 as a nursing home company and is based in Louisville, Kentucky.
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