Field Care Manager - RN

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

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.

• 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).

• Applicants must reside in Fulton, Knox, Marshall, Peoria, Stark, Tazwell or Woodford County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes: 61369, 61375, 61377, 61401, 61402, 61410, 61414, 61415, 61421, 61424, 61426, 61427, 61428, 61430, 61431, 61432, 61433, 61436, 61439, 61441, 61448, 61449, 61451, 61458, 61459, 61467, 61472, 61474, 61477, 61479, 61482, 61483, 61484, 61485, 61488, 61489, 61491, 61501, 61516, 61517, 61519, 61520, 61523, 61524, 61525, 61526, 61528, 61529, 61530, 61531, 61533, 61534, 61535, 61536, 61537, 61539, 61540, 61541, 61542, 61543, 61544, 61545, 61547, 61548, 61550, 61552, 61553, 61554, 61555, 61558, 61559, 61561, 61562, 61563, 61564, 61565, 61568, 61569, 61570, 61571, 61572, 61601, 61602, 61603, 61604, 61605, 61606, 61607, 61610, 61611, 61612, 61613, 61614, 61615, 61616, 61625, 61629, 61630, 61633, 61634, 61635, 61636, 61637, 61638, 61639, 61641, 61643, 61650, 61651, 61652, 61653, 61654, 61655, 61656, 61721, 61729, 61733, 61734, 61738, 61742, 61747, 61755, 61759, 61760, 61771.
• 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 an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

• Bachelor of Science in Nursing (BSN).
• 2+ years of experience 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.

• Workstyle/Travel: This is a Hybrid – Home position that requires occasional onsite work at the market office in Schaumburg, Illinois, as well as 75-90% travel in the field to visit members.
• W…