Description

The 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.  

Must reside in Michigan with the ability to drive to Wayne or Macomb Counties. 

This position will be based from a home office and will travel 75% of the time, to an assigned area in Wayne or Macomb county, to conduct in home visits with Medicare/Medicaid members. 

The Field Care Manager Nurse employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues. 

Position Responsibilities:

The RN Field Care Manager will be responsible for managing a case load and completing assessments with members in their home or community-based setting, as well as telephonically.
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 (Informal caregiver, coach, PCP, etc.). 
Focuses on supporting members and/or caregivers utilizing an interdisciplinary approach in accessing social, housing, educational and other services, regardless of funding sources to meet their needs. 
Primary point of contact for the Interdisciplinary Care Team (ICT) and shall be responsible for coordinating with the member, ICT participants, and outside resources to ensure the member’s needs are met.

Requirements

Required Qualifications

Registered Nurse, Nurse Practitioner, or Clinical Nurse Specialist with a minimum of 1 year in-home experience: care management, hospice, home health or equivalent environment
Active Michigan Registered Nurse (RN) license with no disciplinary action
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
Ability to travel to member's residence within 30 to 40 miles
This role is a part of Humana's Driver Safety program and therefore requires and individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.
Valid driver's license, car insurance, and access to an automobile
Must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work
Must have accessibility to high-speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana At Home systems if 25Mx10M
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.
75% travel is required in this position
 

Preferred Qualifications

BSN
3-5 years of in home assessment and care coordination experience
Experience with health promotion, coaching and wellness
Experience with Medicaid Long Term Care
Previous managed care experience
Bilingual- Spanish, Arabic or Chaldean Neo-Aramaic
Certification in Case Management
Motivational Interviewing Certification and/or knowledge

Associate Benefits that will start day one of employment:

Medical (Individual or Family

Dental (Individual or Family)

Vision (Individual or Family)

Pharmacy Benefits (Individual or Family)

Life and AD&D Insurance

We offer Voluntary benefits such as: Accident, Critical Care Cancer, Hospital Indemnity, etc.

FSA and HAS Accounts

Health & Wellbeing resources

Financial Wellbeing Benefits

PTO Benefits

0-9 years 23 days Bi-weekly hours 7.08 Annual 184 hours

9+ years 28 days Bi-weekly Hours 8.62 Annual 224 hours

401K Company Match +