Bilingual RN Field Care Manager; Arabic or Chaldean) HCBS​/LTSS

Position: Bilingual RN Field Care Manager (Arabic or Chaldean) HCBS/LTSS
** Become a part of our caring community*
* The Field Care Manager Nurse 2 assesses members' needs and helps members and their families access appropriate resources to achieve or maintain optimal health and well-being.

The Field Care Manager Nurse 2 uses a range of strategies to address members' physical, environmental, and psychosocial health needs.

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** Must reside in Michigan
** and be able to drive to Wayne and/or Macomb Counties.

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** This is a Field-based position
** requires  
** 75%-90% travel
** within an assigned area of  
** Wayne and/or Macomb Counties
** to conduct in-home visits with Medicare and Medicaid members within a 30- to 40-mile radius.

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* Position Responsibilities:

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* + The RN Field Care Manager manages a caseload and completes member assessments in home, community-based, and telephonic settings.

+ Provides clinical support and guidance, particularly for members with complex medical needs. Develops and coordinates care plans to ensure members receive appropriate services to manage their health effectively.

+ Addresses barriers to healthcare and advocates for optimal member outcomes.

+ Reviews, evaluates, and completes medical complexity attestations and clinical oversight activities.

+ Assesses care needs to ensure members receive services in the least restrictive setting and achieve or maintain optimal well-being.

+ Develops and updates the Individual Care Plan with applicable care team members, including informal caregivers, coaches, and primary care providers.

+ Uses an interdisciplinary approach to help members and caregivers access social, housing, educational, and other services needed, regardless of funding source.

+ Serves as the primary contact for the Interdisciplinary Care Team (ICT), coordinating with the member, ICT participants, and external resources to ensure the members' needs are met.

+ Conducts comprehensive  
** InterRAI Integrated Health Care (IHC) assessments
** and  
** Nursing Facility Level of Care Determinations (NFLOCDs)
** to evaluate members' clinical, functional, cognitive, behavioral, and psychosocial needs; support accurate eligibility decisions and person-centered care planning; and ensure compliance with state Medicaid, LTSS, HCBS waiver, and regulatory requirements.

** Use your skills to make an impact*
* ** Required Qualifications*
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** Must reside in the state of Michigan**  (Wayne or Macomb Counties).

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** Active Michigan license
** as a Registered Nurse (
** RN** ) or Advanced Practice Registered Nurse (
** APRN** ), including Nurse Practitioner (
** NP** ) or Clinical Nurse Specialist (
** CNS** ), with no disciplinary actions.

+ Fluent in English and  
** Arabic or Chaldean** , with the ability to  
** speak, read, and write each language independently and without assistance** .

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Experience with  
** Home and Community-Based Services (HCBS)
** and  
** waiver programs** .

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** 2+ years of experience
** in healthcare and/or case management.

+ Experience conducting  
** Long-Term Services and Supports (LTSS)
** assessments, working with  
** Medicaid regulations** , and applying person-centered planning principles.

+ Experience collaborating with interdisciplinary teams, providers, members, and caregivers to complete comprehensive assessments and recommend appropriate services.

+ Demonstrated ability to maintain timely, accurate, and compliant documentation in accordance with organizational, state, and federal requirements.

+ Knowledge of community health, social service agencies, and community resources.

+ Ability to use electronic information systems and software programs, including  
** electronic medical records (EMRs)** .

+ Excellent keyboarding and web navigation skills.

+ Intermediate to advanced computer skills, including experience with Microsoft  
** Word, Outlook, and Excel** .

** Preferred Qualifications*
* + Bachelor of Science in Nursing (
** BSN** )

+ Experience completing  
** InterRAI Integrated Health Care (IHC) Assessments** , including assessment methodology, care planning, and identification of clinical, functional, cognitive, and psychosocial needs

+ Experience conducting and documenting  
** Nursing Facility Level of Care Determinations (NFLOCDs)
** in accordance with state Medicaid, Long-Term Services and Supports (LTSS), and regulatory requirements

+ Experience in health promotion, coaching, and wellness

+ Previous experience in managed care

** Additional Information*
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** Schedule/Time Zone:
** Monday through Friday, 8:30 AM - 5:00 PM Eastern Time Zone

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* Work Location:

** Michigan (Wayne and Macomb Counties)

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** Work Style:
** Field

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** Travel Requirements:
** 75%-90% travel within Wayne and/or Macomb Counties, Michigan

** TB Statement:
** This patient-facing role is part of Humana's Tuberculosis (TB) screening program. Candidates selected for this role must complete TB screening.

** Driving Statement** :
This role is part of Humana's Driver Safety Program and requires a valid state driver's license and personal vehicle liability insurance. The individual must maintain…