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.
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
$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.