Field Care Manager Nurse 2

Employment Type: Full-time

Position Overview

Become a part of our caring community and help us put health first. The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

This position will be based from a home office and will travel 75% of the time, to an assigned area in Wayne or Macomb county, to conduct in-home visits with Medicare/Medicaid members.

Responsibilities

• Identifies and resolves barriers that hinder effective care.
• Ensures patients are progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
• May create member care plans.
• Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
• Makes decisions regarding your own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.
• Follows established guidelines/procedures.
• Employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.

Requirements

• Registered Nurse, Nurse Practitioner, or Clinical Nurse Specialist with 2 years of in-home experience: care management, hospice, home health, or equivalent environment.
• Active Michigan Registered Nurse (RN) license with no disciplinary action.
• Experience working with the adult population and disease management.
• 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.
• Excellent keyboard and web navigation skills.
• Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
• Ability to work full-time (40 hours minimum) Monday-Friday.
• Ability to travel to member's residence within 30 to 40 miles.
• Must reside in Michigan with the ability to drive to Wayne or Macomb Counties.
• This role is part of Humana's Driver Safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.
• Valid driver's license, car insurance, and access to an automobile.
• Must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work.
• Must have accessibility to high-speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana At Home systems if 25Mx10M.
• This role is considered patient-facing and is part of Humana At Home's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
• 75% travel is required in this position.

Preferred Qualifications

• BSN
• 3-5 years of in-home assessment and care coordination experience.
• Experience with health promotion, coaching, and wellness.
• Experience with Medicaid Long Term Care.
• Previous managed care experience.
• Bilingual — Spanish or Arabic.
• Certification in Case Management.
• Motivational Interviewing Certification and/or knowledge.

Company Information

Our Hiring Process: As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.