Description
The Field Care Manager Registered Nurse (RN) assesses and evaluates members' needs and requirements to achieve and/or maintain an optimal wellness state by guiding members and families toward resources appropriate for their care and wellbeing.
Key roles and responsibilities include:
- Identifying and resolving barriers that hinder effective care
- Ensuring members are progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations
- Creating plans of care
- Communicating with internal and external stakeholders
- Understanding department, segment, and organisational strategy and operating objectives
- Following established guidelines and procedures
- Visiting Medicaid members in their homes, Supportive Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel
Required Qualifications
- Reside in Cook, Lake or McHenry County, IL, within one of the specified ZIP codes or within a 10-mile radius
- 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 electronic information applications and software programs, including electronic medical records
- Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel
Preferred Qualifications
- Bachelor of Science in Nursing (BSN)
- 2+ years of experience in 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 the area
Additional Information
- This is a Hybrid – Home position that requires occasional onsite work at the market office in Schaumburg, Illinois, as well as 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
- This role is part of Humana's driver safety program and requires a valid state driver's license and personal vehicle liability insurance