Field Care Manager Nurse IL Medicaid - Northern Chicago DuPage Will or Lake Counties in Illinois

Profile

Description

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 facilitate 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.

Responsibilities

The Field Care Manager Nurse 2 employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.

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

Will work with members to create/complete member care plans, health risk assessment, discharge planning and comprehensive documentation

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

Required Qualifications

Unrestricted Registered Nurse (RN) license in the State of Illinois

2 years of experience working in-home case management/care management/nursing facility/supportive living facility or equivalent clinical experiences.

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

Experience with Discharge Planning

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

Excellent keyboard and web navigation skills.

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 with minimal supervision within the role and scope.

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Work Schedule: Monday - Friday; 8am - 5pm. Flexible with work schedule if needed.

Additional Requirements work At Home and Travel

Travel: 75 - 90% travel in the field to visit members Northern Chicago, DuPage, Will, or Lake counties (see Additional information below)

Must have a separate room with a locked door that can be used as a home office to ensure you and your patients have absolute and continuous privacy while you work.

Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required.

Ability to travel to member's residence within 30 to 40 miles.

This role is a part of Humana's Driver Safety program and therefore requires and 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.

This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Preferred Qualifications

BSN

Experience working with Medicaid and Medicare populations.

Experience working with long-term services and support

3-5 years of in home assessment and care coordination experience.

Experience with health promotion, coaching and wellness.

Previous managed care experience.

Bilingual - English, Spanish.

Certification in Case Management.

Motivational Interviewing Certification and/or knowledge.

Reside in Lake, Cook, DuPage or Will counties in IL

Additional Information

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process.

#ThriveTogether #WorkAtHome

Interview Process

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

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

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Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com