RN Full-time
Humana

Field Care Manager - RN

$78,200 - $107,600 / year

Become a part of our caring community

 

The Field Care Manager Registered Nurse (RN) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families toward resources appropriate for the care and wellbeing of 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.

The Field Care Manager Registered Nurse key roles and responsibilities may include the following:

  • Identifies and resolves barriers that hinder effective care.
  • Ensures member is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
  • Create plans of care.
  • Communicates with internal and external stakeholders.
  • 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), requires minimal direction, and receives guidance where needed.
  • Follows established guidelines/procedures.
  • Visits Medicaid members in their homes, Supportive Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel (see Additional Information section).

Use your skills to make an impact

 

Required Qualifications

  • Applicants must reside in Cook, Lake or Mchenry County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes: 60001, 60002, 60009, 60011, 60012, 60013, 60014, 60015, 60020, 60021, 60030, 60031, 60033, 60034, 60035, 60037, 60039, 60040, 60041, 60042, 60044, 60045, 60046, 60047, 60048, 60049, 60050, 60051, 60060, 60061, 60064, 60069, 60071, 60072, 60073, 60075, 60079, 60081, 60083, 60084, 60085, 60086, 60087, 60088, 60089, 60092, 60096, 60097, 60098, 60099, 60102, 60152, 60156, 60180
  • Registered Nurse (RN) in the state of Illinois without disciplinary action.
  • Clinical nursing experience required (hospital, acute care, or home health
  • Ability to travel 75-90% within the state of Illinois
  • 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.
  • Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
  • Humana's Tuberculosis (TB) screening Program This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
  • Humana's Driver Safety Program 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.

Preferred Qualifications

  • Bachelor of Science in Nursing (BSN).
  • 2+ years of experience of in-home case/care management
  • Experience with Medicare/Medicaid members.
  • Experience with health promotion, coaching, and wellness.
  • Previous managed care experience.
  • Bilingual — English, Spanish.
  • Certification in Case Management.
  • Motivational Interviewing Certification and/or knowledge in area.

Additional Information

  • Workstyle/Travel: This is a Hybrid – Home position that requires occasional onsite work at the market office in Schaumburg, Illinois, as well 75-90% travel in the field to visit members
  • Work Schedule: Monday - Friday; 8am - 5pm CST

Work at Home Requirements

  • 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.

Interview Format

As part of our hiring process, we will be using interviewing technology provided by HireVue, 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 correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. 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 or computer 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.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

 

$78,200 - $107,600 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

 

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.

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UI Health

UI Health - Staff Nurse I - 7E Stepdown (100% Full-Time, Evening)

Position Summary The Staff Nurse I provides direct patient care and takes the initiative to improve patient outcomes by integrating Shared Leadership, Evidence Based Practice, Relationship Based Care, and standards of nursing excellence into clinical practice. This position integrates professional practice model, current standards of practice and clinical experience to provide "quality" patient care as measured by established nursing quality standards and other governing/accrediting health care bodies. The Staff Nurse I engages and obtains information from patient and/or family to advocate for the patient, develops an appropriate patient educational plan, and responds to patient's changing needs while sharing information and collaborating with other members of the health care team to promote effective patient care. The Staff Nurse I participates in organizational, departmental, and shared leadership activities; supports department and unit goals in daily behavior. Duties & Responsibilities Develops, implements, and updates the patient’s plan of care based on on-going assessment of the patient and input from the patient’s family. Shares information and collaborates with other members of the health care team to promote effective patient care. Verifies and implements orders from physician, physician assistant and/or advance practice nurse by performing interventions as prescribed by the provider and documenting accurately in the electronic medical record. Engages and obtains information from patient and/or family to develop an appropriate patient educational plan. Recognizes symptoms, establishes priorities, and responds to patient’s changing needs. Engages support personnel by delegating appropriate tasks per the Illinois State Nurse Practice Act and provides support and feedback. Advocates for patients, families, and their significant others, the community, and the nursing profession. Integrates theoretical knowledge, evidence-based research, current standards of practice and clinical experience to provide “quality” patient care as measured by established nursing quality standards and other governing/accrediting health care bodies. Assumes role of Charge Nurse when assigned, utilizing appropriate resources and tools. Collaborates with other nurses to identify, promote, and provide positive learning experiences for staff and students. Serves as preceptor and/or resource to other nursing, support staff and students. Takes responsibility for continued professional growth/development by identification of learning needs and initiates strategies to meet such needs. Other duties as assigned. Perform other related duties and participate in special projects as assigned.