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Humana

Sells Medicare health plans and runs senior clinics

Nurse Behavioral Health Field Care Manager

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeSouth Carolina, USA

About the Job

Requirements

  • A Bachelor of Science in Nursing (BSN) and an active South Carolina license without disciplinary action are required.
  • Must reside in South Carolina.
  • At least 2 years of case or care management experience is required.
  • Must have completed at least 45 documented training hours related to behavioral health issues and treatment.
  • Knowledge of community health and social service agencies and other community resources is required.
  • Ability to use electronic information applications and software, including electronic medical records, is required.

Responsibilities

  • Assess and evaluate members' needs and requirements to achieve or maintain optimal wellness by guiding members and families toward appropriate care and wellbeing resources.
  • Use strategies, approaches, and techniques to manage members' physical, environmental, and psychosocial health issues.
  • Identify and resolve barriers that hinder effective care.
  • Continuously monitor patient care through assessments and evaluations to ensure patients are progressing toward desired outcomes.
  • Create member care plans when needed.
  • Travel about 50% of the time to collaborate and conduct face-to-face meetings with staff, providers, members, and their families.

Desired Qualifications

  • At least 3 years of in-home assessment and care coordination experience is preferred.
  • Experience with health promotion, coaching, and wellness is preferred.
  • Previous managed care experience is preferred.
  • Bilingual ability in English and Spanish is preferred.
  • Certification in case management is preferred.
  • Motivational Interviewing certification or knowledge is preferred.

About the Company

Humana

Sells Medicare health plans and runs senior clinics

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.

Company size
10,001+
Company stage
IPO
Headquarters
Louisville, KY
Founded
1961

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