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Humana Healthy Horizons in Virginia is seeking a RN, Field Care Manager (Field Care Manager Nurse) to perform telephonic and face-to-face assessments and evaluations of the needs and requirements of our long-term services and support (LTSS) 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. It also involves spending quality time assessing their goals, needs, and barriers. Finally, it involves connecting our members with quality services to promote their ultimate well-being and drive person-centered health outcomes.

• Review and analyze for medical complexity.
• Develop member individualized care plans.
• Employ a variety of evidence-based strategies, approaches, and techniques to manage a member's physical, environmental, and psychosocial health.
• Identify and resolve barriers that hinder effective care.
• Ensure member is progressing towards desired outcomes by continuously monitoring member care through comprehensive assessments and/or evaluations.
• May cover colleagues who carry a caseload of the aged, blind and disabled (ABD)member population.
• Require minimal direction and receive guidance where needed.
• Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
• Follow established guidelines/procedures.

Required Qualifications

• Must reside in the Central Region in the Commonwealth of Virginia in the counties/independent Cities of:

Richmond, Glen Allen, Henrico, Sandston, Chesterfield.

• Active Registered Nurse (RN) license in the Commonwealth of Virginia without disciplinary action.
• Two (2) years of prior experience in health care and/or case management.
• One (1) year of experience working with individuals who meet the Cardinal Care Priority Population criteria (adult and pediatric populations 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 and experience with Microsoft Word, Outlook, and Excel.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.
• Exceptional communication and interpersonal skills with the ability to quickly build rapport.
• Ability to work a full-time schedule.
• 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.
• Motivational Interviewing Certification and/or knowledge.
• 3-5 years of in-home assessment and care coordination experience.
• 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. Mileage reimbursement is provided for work-related travel. Eligible mileage includes travel from your home to your first work location, travel between client or assignment locations during the workday, and travel from your final work location back to your home.

• 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.

• 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.

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.

40

$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.

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