RN Field Care Manager, Care Coordinator - Humana
South Bend, IN
About the Job
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 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. The Field Care Manager Nurse 2 will coordinate care for members residing in nursing facilities.
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.
+ Responsible to create member care and service plans supporting members in long term care facilities.
+ 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.
+ Coordinates care for members residing in nursing facilities.
+ Follows established guidelines/procedures.
+ This position requires member facing visits across Indiana. We are hiring in the following counties: Lake, Porter, Allen, Dekalb, Noble, Clinton, Montgomery, Tippecanoe, Howard, Wabash, Kosciusko, LaPorte, St Joseph, Delaware, Madison, Putnam, Vigo, Marion, Morgan, Fayette, Wayne, Monroe, Bartholomew, Jackson, Dearborn, Jefferson, Dubois, Know, Clark, Floyd, Scott, Lawrence, Vanderburgh and Warrick.These are subject change and is based on membership.
Use your skills to make an impact
Required Qualifications
+ Unrestricted Registered Nurse Licensed in the state of Indiana with 2 years of experience of in-home case/care management
+ Experience working with the adult population
+ Knowledge of community health and social service agencies and additional community resources
+ Ability to use a variety of electronic information applications/software programs including electronic medical records
+ Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel with excellent keyboard and web navigation skills
+ 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 work a full-time (40 hours minimum) flexible work schedule
+ Must perform job responsibility in Indiana
Preferred Qualifications
+ BSN
+ LTC or Nursing Home experience
+ 3-5 years of in home assessment and care coordination experience
+ Experience with health promotion, coaching and wellness
+ Previous managed care experience
+ Certification in Case Management
+ Motivational Interviewing Certification and/or knowledge
Work-At-Home Requirements
To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Workstyle: Field Position, must perform job responsibility in Indiana
Location: This position requires member facing visits across Indiana. We are hiring in the following counties: Lake, Porter, Allen, Dekalb, Noble, Clinton, Montgomery, Tippecanoe, Howard, Wabash, Kosciusko, LaPorte, St Joseph, Delaware, Madison, Putnam, Vigo, Marion, Morgan, Fayette, Wayne, Monroe, Bartholomew, Jackson, Dearborn, Jefferson, Dubois, Know, Clark, Floyd, Scott, Lawrence, Vanderburgh and Warrick. These are subject change and is based on membership.
Training: July 15th or 29th 2024
Screening
+ This role is considered patient-facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be tested for TB.
Travel
This position will require a minimum of 75% travel to cover multiple counties in your region of Indiana.
+ Must have a Valid driver’s license with reliable transportation and the ability to travel within the state, as required – All members are over 60 years old
+ 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 100,000/300,000/100,000 limits.
Additional Information
Interview Format
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 an email correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. ( please be sure to check your spam or junk folders often to ensure communication isn’t missed) 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.
_According to the Indiana Office of Inspector General Rule, 42 IAC 1-5-14 Post-Employment Restrictions, if you are a current or former state officer, employee or special state appointee with Indiana Family and Social Services Administration (FSSA) within the past year, engaged in the negotiation or the administration of a Medicaid contract on behalf of the state and/or Family and Social Services Administration (FSSA); in a position to make discretionary decision affecting the: (1) outcome of the negotiation; or (2) nature of the administration; or either engaged in making a regulatory or licensing decision that directly applied to Humana Inc. or to a parent or subsidiary you cannot be considered for this opportunity. For more information please visit: _ IG: Indiana Office of Inspector General (https://www.in.gov/ig/)
#Medicaid123
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$71,100 - $97,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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 https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
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. The Field Care Manager Nurse 2 will coordinate care for members residing in nursing facilities.
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.
+ Responsible to create member care and service plans supporting members in long term care facilities.
+ 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.
+ Coordinates care for members residing in nursing facilities.
+ Follows established guidelines/procedures.
+ This position requires member facing visits across Indiana. We are hiring in the following counties: Lake, Porter, Allen, Dekalb, Noble, Clinton, Montgomery, Tippecanoe, Howard, Wabash, Kosciusko, LaPorte, St Joseph, Delaware, Madison, Putnam, Vigo, Marion, Morgan, Fayette, Wayne, Monroe, Bartholomew, Jackson, Dearborn, Jefferson, Dubois, Know, Clark, Floyd, Scott, Lawrence, Vanderburgh and Warrick.These are subject change and is based on membership.
Use your skills to make an impact
Required Qualifications
+ Unrestricted Registered Nurse Licensed in the state of Indiana with 2 years of experience of in-home case/care management
+ Experience working with the adult population
+ Knowledge of community health and social service agencies and additional community resources
+ Ability to use a variety of electronic information applications/software programs including electronic medical records
+ Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel with excellent keyboard and web navigation skills
+ 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 work a full-time (40 hours minimum) flexible work schedule
+ Must perform job responsibility in Indiana
Preferred Qualifications
+ BSN
+ LTC or Nursing Home experience
+ 3-5 years of in home assessment and care coordination experience
+ Experience with health promotion, coaching and wellness
+ Previous managed care experience
+ Certification in Case Management
+ Motivational Interviewing Certification and/or knowledge
Work-At-Home Requirements
To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Workstyle: Field Position, must perform job responsibility in Indiana
Location: This position requires member facing visits across Indiana. We are hiring in the following counties: Lake, Porter, Allen, Dekalb, Noble, Clinton, Montgomery, Tippecanoe, Howard, Wabash, Kosciusko, LaPorte, St Joseph, Delaware, Madison, Putnam, Vigo, Marion, Morgan, Fayette, Wayne, Monroe, Bartholomew, Jackson, Dearborn, Jefferson, Dubois, Know, Clark, Floyd, Scott, Lawrence, Vanderburgh and Warrick. These are subject change and is based on membership.
Training: July 15th or 29th 2024
Screening
+ This role is considered patient-facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be tested for TB.
Travel
This position will require a minimum of 75% travel to cover multiple counties in your region of Indiana.
+ Must have a Valid driver’s license with reliable transportation and the ability to travel within the state, as required – All members are over 60 years old
+ 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 100,000/300,000/100,000 limits.
Additional Information
Interview Format
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 an email correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. ( please be sure to check your spam or junk folders often to ensure communication isn’t missed) 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.
_According to the Indiana Office of Inspector General Rule, 42 IAC 1-5-14 Post-Employment Restrictions, if you are a current or former state officer, employee or special state appointee with Indiana Family and Social Services Administration (FSSA) within the past year, engaged in the negotiation or the administration of a Medicaid contract on behalf of the state and/or Family and Social Services Administration (FSSA); in a position to make discretionary decision affecting the: (1) outcome of the negotiation; or (2) nature of the administration; or either engaged in making a regulatory or licensing decision that directly applied to Humana Inc. or to a parent or subsidiary you cannot be considered for this opportunity. For more information please visit: _ IG: Indiana Office of Inspector General (https://www.in.gov/ig/)
#Medicaid123
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$71,100 - $97,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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 https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana