Field Care Manager- Physical Health

$69,800 - $96,200/Yr

Humana - Bogalusa, LA

Full-time - Mid Level

Remote - Bogalusa, LA

Insurance Carriers and Related Activities

About the position

The Field Care Manager Nurse 2 plays a crucial role in assessing and evaluating the needs of members to help them achieve and maintain optimal wellness. This position involves guiding members and their families towards appropriate resources for care and wellbeing, utilizing a holistic, member-centric approach. The role requires independent decision-making and collaboration with various healthcare providers and community services to ensure quality care and effective outcomes.

Responsibilities

• Employ a variety of strategies to manage a member's physical, environmental, and psycho-social health issues.
• Identify and resolve 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.
• Perform telephonic and face-to-face assessments and evaluations of the member's needs.
• Ensure members are progressing towards desired outcomes by continuously monitoring care through assessments and evaluations.
• Perform clinical interventions through the development of care plans based on clinical judgment and identified triggers.
• Collaborate with providers and community services to promote quality and cost-effective outcomes.
• Coordinate delivery of needed services/supports for Physical Health and Social Determinants of Health.
• Coordinate across the transdisciplinary care team and transitions of care.
• Submit incident reports.

Requirements

• Unrestricted Licensed Registered Nurse in the State of Louisiana.
• 2 years of experience in nursing or healthcare field (discharge planning, case management, care coordination, and/or home/community health experience).
• Extensive nursing experience encompassing care for individuals across all ages.
• 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.
• 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.
• Ability to work a full-time (40 hours minimum) flexible work schedule.

Nice-to-haves

• BSN
• Telephonic care coordination/care management experience.
• 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.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, including company and personal holidays, volunteer time off, paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance.
• Bonus incentive plan based on company and/or individual performance.