RN Field Case Manager Nurse - Western KY

Become a part of our caring community

Become a part of our caring community and help us put health first.

The Field Care Manager Nurse 2 assesses and evaluates member needs to support health and wellness outcomes. You will partner with members, families, and care teams to develop and implement individualized care plans, coordinate services, and connect members to resources that address both clinical and social needs. This is a field-based and telephonic position, where in-person versus telephonic engagement is guided by member needs, contractual requirements, and regulatory expectations.

• Conduct comprehensive assessments to identify member needs, risks, and barriers to care
• Develop and manage member-centered care plans with measurable goals and outcomes
• Coordinate care across providers and community support systems
• Monitor progress and adjust interventions to ensure outcomes
• Address social determinants of health
  , including housing, transportation, and access to care
• Utilize evidence-based care pathways to guide clinical decision-making
• Engage members using coaching and motivational interviewing techniques

You will require travel to complete in-person visits with members in different environments to support holistic assessment and care coordination.

• Members’ homes
• Group homes or community living settings
• Hospitals or skilled nursing facilities
• Homeless shelters or community locations
• Correctional facilities (e.g., prisons or jails) as part of reentry and transition planning

You will also conduct telephonic outreach and follow-up as part of ongoing care management.

Field visits—including those in nontraditional settings such as correctional facilities—are an expected and essential function of this role to ensure continuity of care and successful community reintegration.

• Must reside in Western Kentucky—preferably in the surrounding counties of Caldwell, Lyon, Crittenden, Livingston, Hopkins, Christian, or Trigg.
• Active Registered Nurse (RN) license
• Bachelor’s degree in nursing or a healthcare/human services related field
• 2+ years of experience working as a case manager or care manager
• Experience working with adult populations
• Knowledge of community health services, social services, and available resources
• Proficiency in Microsoft Office (Word, Outlook, Excel) and electronic medical records

• 3+ years of care coordination or community-based experience
• Managed care experience
• Experience with health coaching and wellness promotion
• Case Management Certification (CCM or similar)
• Motivational Interviewing training
• Bilingual (English/Spanish):
  See the "Language Assessment Statement"

Schedule/Time Zone: Monday through Friday, 8:00 AM – 5:00 PM Central Time Zone.

Work Location: Western Kentucky.

Work Style: Field.

Travel Requirements: Up to 25% within a 120-mile radius to complete field visits.

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees 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 employees 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.

This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

This role is part of Humana’s driver safety program and therefore requires an individual to have a valid state driver’s license…