Field Care Manager Nurse Illinois Medicaid - The Greater Chicago Area

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. May create member care plans. 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 with 2 years of experience working in 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.

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.

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.

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.

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.

Preferred Qualifications

BSN

Experience working with Medicaid and Medicare Medicaid population.

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.

Additional Information

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

Travel: 75 - 90% travel in the field to visit members

As part of our hiring process, we will be using an exciting interviewing technology provided by Montage, 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.

Scheduled Weekly Hours

40

Company info

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