Location
Slidell, LA, United States
Posted on
Dec 12, 2022
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 Maternity Care Management Nurse (Field Care Manager Nurse) 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 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. $5000 SIGN-ON BONUS for new associates! $3000 payable within the first 45 days and the remaining $2000 after 1 year of service. Position Responsibilities: The Field Care Manager 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.
Utilize a holistic, member-centric approach to engage and motivate members and their families through recovery and health and wellness programs.
Performs telephonic and face to face assessments and evaluations of the member's needs to achieve and/or maintain an optimal wellness state by guiding members/families toward the appropriate resources for the care and overall wellbeing of the member.
Ensures member is progressing towards desired outcomes by continuously monitoring care through assessments and/or evaluations.
Perform clinical intervention through the development of a care plan specific to each member based on clinical judgement, changes in members' health or psychosocial wellness, and identified triggers
Collaborates with providers and community services to promote quality and cost-effective outcomes.
Coordinates delivery of needed services/supports for Physical Health, Social Determinant of Health and value added benefits.
Coordinates across the transdisciplinary care team (at a minimum the PCP) and transitions of care
Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
Submits incident reports
Coverage Areas Region 1 - New Orleans and vicinity , Region 4 Lafayette and vicinity and Region 9 Livingston and vicinit.
Required Qualifications
Licensed Registered Nurse (RN) in the state of Louisiana without restrictions
Minimum two (2) years of clinical experience in maternity, Labor & Delivery, L&D, mother baby)
Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel
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
Must reside in Louisiana
Preferred Qualifications
Case Management Certification (CCM) or willingness to obtain within two (2) years of employment
Experience working with Medicare, Medicaid and dual-eligible populations
Field Case Management Experience
Health Plan experience
Knowledge of community health and social service agencies and additional community resources
Experience with health promotion, coaching and wellness
Work-At-Home Requirements
Must have the ability to provide a high speed wireless, DSL or cable modem (including VPN tunnel) for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
Satellite Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Workstyle: Combination remote work at home and onsite/home member visits
Hours: Must be able to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs.
Travel: Must be willing to commute to meet with members in Louisiana
Covid Policy : : Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.
Driver's License, Transportation, Insurance This role is a part of Humana's Driver Safety program and therefore requires and individual to have
a valid state driver's license
proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits,
and access to a reliable vehicle
Tuberculosis (TB) screening program
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.
Additional Information
Section 1121 of the Louisiana Code of Governmental Ethics states that current or former agency heads or elected officials, board or commission members or public employees of the Louisiana Health Department (LDH) who work directly with LDH's Medicaid Division cannot be considered for this opportunity. A separation of two (2) or more years from LDH is required for consideration. For more information please visit: Louisiana Board of Ethics (la.gov) (****opinion)
#LI-KK1
#LouisianaMedicaid
Scheduled Weekly Hours
40
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ****
Company info
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