Nurse Behavioral Health Field Care Manager

004 Humana Insurance Company; South Carolina; Hybrid; USD 71,000 - 98,000; Full time

Benefits offered by this job

Bonus incentive plan

Job summary

Humana, Inc. is seeking a Field Care Manager Nurse 2 in South Carolina. You will assess members, guide families to care resources, and coordinate with providers to ensure progress toward wellness outcomes.

The role requires a BSN and active SC nursing license, 2+ years of case management, and at least 45 hours of Behavioral Health training. Travel up to 50% will be needed for on-site collaborations.

Qualifications

• Bachelor of Science in Nursing with active South Carolina license.
• 2+ years of case/care management experience in SC.
• Minimum 45 documented training hours in Behavioral Health.
• Knowledge of community health resources and EMR systems.

Responsibilities

• Assess members' needs and guide families toward appropriate care resources.
• Develop and monitor member care plans and track progress toward outcomes.
• Identify and resolve barriers to effective care and coordinate with providers.

Skills

Case management experience

Behavioral Health training 45 hours

Community health resources knowledge

EMR/Electronic medical records

Education

BSN

SC nursing license

Job description

Become a part of our caring community The Field Care Manager Nurse 2 assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse 2 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. Ensure patients are progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. May create member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. You will report to the Manager, Care Management.

Required Qualifications

• Bachelor's in nursing (BSN) and have an active license in the state of South Carolina without disciplinary action.
• Must reside in the State of South Carolina 2 or more years of experience of case/care management
• Completed a minimum of 45 documented training hours related to Behavioral Health issues and treatment
• Knowledge of community health and social service agencies and additional community resources
• Use a variety of electronic information applications/software programs including electronic medical records

Preferred Qualifications

• 3 or more years of in-home assessment and care coordination 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

• Field Travel: will be 50% of the time to support collaboration, conduct face-to-face meetings, and engage directly with staff, providers, members, and their families.
• Schedule: Monday through Friday 8:00 AM - 5:00 PM Eastern Time
• Use your skills to make an impact

Work from 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

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.

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

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.