Field Care Manager Nurse

3 days ago

Jacksonville IL, Morgan County, IL; Illinois, United States Humana Full-time

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Humana Gold Plus Integrated is seeking a Field Care Manager Registered Nurse (RN) to assess and evaluate member‘s needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families toward resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse employs a variety of strategies, approaches, and techniques to manage a member‘s physical, environmental, and psycho-social health issues.

The Field Care Manager   Registered   Nurse   key roles and responsibilities may include the following:  

 

  • Identifies   and resolves barriers that hinder effective care.  

  • Ensures   patient is progressing   towards desired outcomes by continuously   monitoring   patient care through assessments and/or evaluations.  

  • Create s   plans   of   care .  

  • Communicates with internal and external stakeholders.  

  • Understands department, segment, and organizational strategy and operating   objectives , including their linkages to related areas.  

  • Makes decisions   regarding   own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.  

  • Follows established   guidelines/procedures.  

  • Visit s   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).  

Upon hire, this role will be assigned to support either MLTSS or LTSS based on business needs.


Use your skills to make an impact

 

Required Qualifications  

  • Must   reside   in   the state of Illinois.

  • Registered Nurse in the state of Illinois without disciplinary action.  

  • 2+ years of   experience of   in-home case/care management.  

  • Experience working with the adult population.  

  • Knowledge of community health and social service agencies and   additional   community resources.  

  • Exceptional communication and interpersonal skills with the ability to quickly build rapport.  

  • Ability to work with minimal supervision within the role and scope.  

  • Ability to use a variety of electronic information   applications/software   programs including electronic medical records.  

  • Intermediate to   Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.  

  • Excellent keyboard and web navigation skills.  

 

Preferred Qualifications  

  • B achelor of Science in Nursing (BS N ).  

  • 3+ years of in-home assessment and care coordination experience.  

  • Experience with Medicare/Medicaid members.  

  • Experience with health promotion, coaching, and wellness.