RN, Field Care Manager

Socket.dev; Virginia (MN); Hybrid; USD 71,000 - 98,000; Full time

Job summary

Humana Healthy Horizons in Virginia is seeking an RN Field Care Manager to conduct telephonic and in-person assessments for LTSS and ABD members, guiding families toward appropriate resources. You will develop individualized care plans, monitor progress, and collaborate with diverse teams to promote well-being through person-centered outcomes.

The role requires Virginia RN licensure, 2 years of health care/case management experience, and travel to member homes or facilities.

Qualifications

• Active RN license in Virginia without disciplinary action.
• 2 years of prior experience in health care and/or case management.
• 1 year of experience working with individuals at risk for chronic medical conditions & high social needs.
• Knowledge of community health and social service agencies and additional community resources.
• Intermediate to advanced computer skills with MS Word, Outlook, and Excel; EMR experience.

Responsibilities

• Reviews, analyzes, assesses, and attests for medical complexity.
• Develops member individualized care plans.
• Employs evidence-based strategies to manage a member's physical, environmental, and psychosocial health.
• Identifies and resolves barriers hindering effective care.
• Ensures member is progressing towards outcomes via ongoing assessments/evaluations.
• Makes autonomous decisions, with guidance as needed.

Skills

Strong communication and interpersonal

Microsoft Word

Outlook

Excel

Travel availability

Education

Bachelor of Science in Nursing (BSN)

Certification in Case Management (CCM)

Tools

Microsoft Word

Outlook

Excel

Job description

Become a part of our caring community

Humana Healthy Horizons in Virginia is seeking RN, Field Care Managers (Field Care Manager Nurse 2) to perform telephonic and face-to-face assessments and evaluations of the needs and requirements of our long-term services and support (LTSS) and aged, blind and disabled (ABD)member population. The RN, Field Care Manager supports achieving and/or maintaining optimal wellness by guiding members/families toward and facilitating interaction with resources appropriate for the care and well-being of members. They work assignments that are varied and frequently require interpretation and independent determination of the appropriate courses of action.

This role involves meeting members in the field at their home or location of the member's choice, spending quality time assessing their goals, needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive person centered health outcomes.

• Reviews, analyzes, assesses, and attests for medical complexity.
• Develops member individualized care plans.
• Employs a variety of evidence-based strategies, approaches, and techniques to manage a member's physical, environmental, and psychosocial health.
• Identifies and resolves barriers that hinder effective care.
• Ensures member is progressing towards desired outcomes by continuously monitoring member care through comprehensive assessments and/or evaluations.
• Makes autonomous decisions, occasionally in ambiguous situations.
• Requires minimal direction and receives guidance where needed.
• Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
• Follows established guidelines/procedures.

Use your skills to make an impact

Required Qualifications

• Must reside in the Central Region of the Commonwealth of Virginia in the counties/independent cities of Richmond, Henrico or Midlothian areas.
• Active Registered Nurse (RN) license in the Commonwealth of Virginia without disciplinary action.
• 2 years of prior experience in health care and/or case management.
• 1 year of experience working with individuals who are at risk for chronic medical conditions & high social needs (adult and pediatric populations).
• Knowledge of community health and social service agencies and additional community resources.
• Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel with the ability to use a variety of electronic information applications/software programs including electronic medical records. Excellent keyboard and web navigation skills.
• Exceptional communication and interpersonal skills with the ability to quickly build rapport.
• Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families.

Preferred Qualifications

• Bachelor of Science in Nursing (BSN).
• Certification in Case Management (CCM).
• Previous managed care experience.
• Experience with in-home assessment and care coordination
• Experience with disease management, health promotion, coaching and wellness.
• Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance. See “Additional Information” section for more information.

Additional Information

• Workstyle: Field - This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.
• Travel: 50 - 75% field interactions with members, and their families and providers. May need to attend onsite meetings occasionally in Humana Healthy Horizons office in Glen Allen, VA.
• Workdays and Hours: Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST).
• Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

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 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.

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.