Field Care Manager, RN

Humana; Marion (IL); Hybrid; USD 71,000 - 98,000; Full time

Job summary

Humana is seeking a Field Care Manager Registered Nurse to support Medicaid members in Illinois. Primary duties include identifying barriers, monitoring progress through assessments, and creating care plans, with 75-90% travel within the state and hybrid work options.

The role requires IL RN license, clinical home health experience, knowledge of community resources, and EMR proficiency. Preferred BSN, 2+ years in-home case management, Medicare/Medicaid experience, bilingual English/Spanish, and

Qualifications

• Must reside in Illinois with active RN license and no disciplinary action.
• Clinical nursing and home health care experience required.
• Knowledge of community health resources and EMR software.

Responsibilities

• Identifies and resolves barriers hindering care.
• Monitors patient care progress through assessments/evaluations.
• Creates plans of care for members.
• Communicates with internal and external stakeholders.
• Understands strategy and operating objectives of the department.
• Visits Medicaid members in homes and care facilities with 75-90% travel within Illinois.

Skills

Clinical nursing

Home health care

Community health knowledge

Bilingual - English/Spanish

Travel readiness

Education

Registered Nurse (RN) in Illinois

Bachelor of Science in Nursing (BSN)

Tools

EMR/EHR proficiency

Job description

Become a part of our caring community

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.
• 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).

Become a part of our caring community

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.
• 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).

Required Qualifications

• Applicants must reside in Franklin, Union, Jackson, Johnson, Massac, Hamilton, White, Alexander, Williamson, Saline, White, Hardin, Pope, Gallatin, and Pulaski, County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes: 62805, 62905, 62906, 62907, 62908, 62812, 62909, 62910, 62817, 62819, 62912, 62820, 62914, 62915, 62916, 62901, 62902, 62903, 62821, 62917, 62918, 62919, 62822, 62920, 62825, 62921, 62922, 62827, 62923, 62828, 62829, 62924, 62926, 62927, 62928, 62930, 62931, 62932, 62834, 62933, 62835, 62934, 62836, 62840, 62841, 62935, 62938, 62939, 62940, 62941, 62942, 62943, 62844, 62946, 62947, 62948, 62949, 62950, 62951, 62952, 62953, 62954, 62955, 62956, 62856, 62860, 62958, 62959, 62861, 62957, 62859, 62960, 62862, 62961, 62962, 62963, 62964, 62965, 62865, 62966, 62967, 62867, 62869, 62969, 62970, 62871, 62971, 62874, 62972, 62973, 62974, 62975, 62976, 62977, 62979, 62982, 62983, 62884, 62984, 62985, 62887, 62987, 62988, 62990, 62890, 62992, 62993, 62891, 62994, 62995, 62996, 62896, 62897, 62998, 62999
• 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.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.

Use your skills to make an impact

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

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

40

Pay 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 year This 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.

About Us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

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.