Field Care Manager RN

The Field Care Manager Nurse (Physical Health) plays a critical role in assessing and coordinating care to support members in achieving and maintaining health outcomes. The Field Care Manager uses a holistic, member‑centered approach. This approach involves partnering with members and their families to identify needs, address barriers to care, and connect them with appropriate clinical, community, and social resources.

Reports to the Manager, Care Management, and supports members on the Medicaid Team.

• Use a holistic, member‑centric approach to engage and motivate members and their families through recovery, health, and wellness programs.
• Perform telephonic and face‑to‑face assessments to evaluate members' needs and support achievement and maintenance of wellness by connecting members and families to appropriate resources.
• Ensure members are progressing toward desired health outcomes through ongoing monitoring, reassessments, and evaluations.
• Provide clinical interventions by creating and implementing individualized care plans based on clinical judgment and changes in physical or psychosocial health.
• Collaborate with providers, caregivers, and community resources to promote high‑quality, cost‑effective outcomes.
• Coordinate delivery of needed services and support related to Physical Health, Social Determinants of Health, and value‑added benefits.
• Partner across the transdisciplinary care team, including primary care providers, and support transitions of care.
• Understand department, segment, and organizational strategies and how they align with related areas.
• Submit incident reports following organizational and regulatory requirements.
• Cover designated regions within Louisiana, including specified parishes in Regions 7 and 8.

• Unrestricted Registered Nurse license in the state of Louisiana with at least 2 years of in‑home case/care management experience.
• Experience working with all populations (youth, adult, geriatric).
• Knowledge of community health and social service agencies and additional resources.
• Experience using electronic health record systems and demonstrating excellent keyboard and web navigation skills.
• Ability to document clinical assessments and care activities electronically while working in members' homes.
• Engage members and caregivers during in‑home visits to conduct assessments and support trust‑based relationships.
• Work autonomously within the role and scope.
• Reside in Louisiana, available for a full‑time (40 hours per week) flexible schedule, and willing to travel up to 50 miles to members' residences.

• BSN degree.
• 3+ years of relevant experience.
• Experience with health promotion, coaching, and wellness.
• Previous managed‑care experience.
• Bilingual in English and Spanish.
• Certification in Case Management.
• Motivational Interviewing certification or knowledge.

Humana, Inc. and its affiliated subsidiaries offer competitive benefits that support whole‑person well‑being, including medical, dental and vision coverage, a 401(k) retirement savings plan, paid time off, short‑term and long‑term disability, life insurance, and more.

Humana is an equal‑opportunity employer and does not 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. Humana takes affirmative action to employ individuals with disability or protected veteran status and bases all employment decisions on valid job requirements.