Humana
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.
The Field Care Manager Nurse 2 assesses and evaluates member's needs. We do this to achieve and maintain an wellness state. The nurse guides members/families toward resources and facilitates interaction with them. These resources are 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.
Required Qualifications: Must reside in the state of Kentucky or in a county that is contiguous to the Kentucky state border in Ohio, Indiana, Illinois, Missouri, Tennessee, Virginia, or West Virginia. Ability to travel to member's residence within 30 to 40 miles in the state of Kentucky. An active, unrestricted Registered Nurse (RN) license in the state of Kentucky. 1+ years of maternal child nursing experience such as labor and delivery, neonatal ICU, postpartum/nursery. Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel. Knowledge of community health and social service agencies and additional community resources. Preferred Qualifications: BSN 3+ years of in-home assessment and care coordination experience. Experience with health promotion, coaching and wellness. Previous managed care or Medicaid health plan experience. Certification in Case Management (CCM). Motivational Interviewing Certification or knowledge. Additional Information: Schedule/Time Zone: Monday through Friday, 8:00 AM – 5:00 PM Easter Time Zone with flexibility to work overtime as per business needs. Work Location: Kentucky Work Style: Hybrid (90% Remote, 10% Field) Travel Requirements: 10% travel where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes. Travel also includes attending face to face and collaborative meetings at Humana’s Louisville, KY location. Work-at-Home (WAH) Internet Statement To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees 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 employees 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.
The Field Care Manager Nurse 2 employs a variety of strategies, and techniques to manage a member's physical, environmental, and psycho-social health issues. Resolve barriers that hinder care. Ensure patient is progressing towards desired outcomes by overseeing patient care through assessments and evaluations. May create member care plans. Understand department, segment, and organizational strategy and operating goals, including their linkages to related areas. Follow established guidelines/procedures.
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