Registered Nurse – RN Field Care Manager
Employment Information
Job Description
Field Care Manager Nurse addressing member's health needs and managing care plans for Humana. Work involves assessments, coordinating resources, and advocating for member outcomes while ensuring well-being in community settings.
Responsibilities:
- assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state
- guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
- responsible for managing a case load and completing assessments with members in their home or community-based setting
- provides clinical support and guidance, particularly for members with medical complexity
- help develop and coordinate care plans ensuring that patients receive appropriate services to manage their health needs effectively
- addressing barriers to health care and advocating for optimal member outcomes
- will review, assess, and complete medical complexity attestations and clinical oversights
- ensures members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs
- develops and modify Individual Care Plan and involve applicable members of the care team in care planning
- focuses on supporting members and/or caregivers utilizing an interdisciplinary approach in accessing social, housing, educational and other services
- primary point of contact for the Interdisciplinary Care Team (ICT)
Requirements:
- Registered Nurse, Nurse Practitioner, or Clinical Nurse Specialist with a minimum of 2 years experience in health care and/or case management
- Active Michigan Registered Nurse (RN) license with no disciplinary action
- Must reside in the state of Michigan
- Ability to travel to homes and community settings for face-to-face assessments
- Experience working with the adult population, 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) Mon-Fri
Benefits:
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance and many other opportunities
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