Field Care Manager Physical Health

Job Description Summary

The Field Care Manager Physical Health RN /Field Care Manager Nurse assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

As a Field Care Manager, you will employ a comprehensive, member-focused approach to support individuals in managing physical, environmental, and psycho-social health challenges. Reporting to the Manager of Care Management within the Medicaid Team, you will help identify and address barriers to effective care, ensuring members receive the resources and support necessary for optimal wellbeing.

• Engage and empower members and their families by utilizing holistic strategies to support recovery, health maintenance, and participation in wellness programs.
• Conduct telephonic and in-person assessments to evaluate member needs, guiding them and their families toward appropriate resources to achieve and sustain their best possible health outcomes.
• Continuously monitor member progress, using regular assessments and evaluations to ensure advancement toward individualized care goals.
• Develop and implement personalized care plans based on clinical judgment, changes in member health status, psychosocial factors, and identified triggers, providing targeted clinical interventions.
• Collaborate with healthcare providers, community organizations, and services to facilitate quality, cost‑effective care and support for members.
• Coordinate delivery of essential services, addressing physical health needs, social determinants of health, and additional value-added benefits to comprehensively support members.
• Facilitate communication and coordination across the interdisciplinary care team, including primary care providers, to ensure seamless transitions of care and integrated service delivery.
• Demonstrate an understanding of departmental, segment, and organizational strategies and objectives, aligning daily practices with broader operational goals.
• Document and submit incident reports observing organizational policies and regulatory requirements.

• Unrestricted Registered Nurse license in the state of Louisiana with 2 years experience
• Experience working with all populations (youth, adult, geriatric)
• Knowledge of community health and social service agencies and additional community resources
• Experience using a variety of electronic information applications/software programs including electronic medical records with excellent keyboard and web navigation skills and the ability to provide narrative documentation.
• Intermediate to Advanced computer skills and experience with Microsoft Office
• Ability to work with minimal supervision within the role and scope
• Must reside in Louisiana and can work a full-time 40 hours minimum flexible work schedule and travel to member's residence within 50 miles

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

Combination remote work at home and onsite/home member visits

Must be able to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM, overtime may be requested to meet business needs and requires approval.

• Must be willing to travel at least 75% of the time within your assigned Region where you reside, to conduct field visits with members in your assigned area. Travel requirements may vary based on member tier level.
• This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and to maintain personal vehicle liability insurance.
• Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000…