Field Care Manager Physical Health

Become a part of our caring community Job Description SummaryThe 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.In this role you will: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.Use your skills to make an impact  Required QualificationsUnrestricted Registered Nurse license in the state of Louisiana with 2 years experienceExperience working with all populations (youth, adult, geriatric)Knowledge of community health and social service agencies and additional community resourcesExperience 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 OfficeAbility to work with minimal supervision within the role and scopeMust reside in Louisiana and can work a full-time (40 hours minimum) flexible work schedule and travel to member's residence within 50 milesPreferred QualificationsBSN3+ years of experienceExperience with health promotion, coaching and wellnessPrevious managed care experienceBilingual — English, SpanishCertification in Case ManagementMotivational Interviewing Certification or knowledgeWorkstyle: Combination remote work at home and onsite/home member visitsHours: Must be able to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs and requires approval.Travel, Driver's License, Transportation, Insurance: 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 are expected to maintain personal vehicle liability insurance.Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.Mileage reimbursement is provided for work-related travel. Eligible mileage includes:Travel from your home to your first work location of the day.Travel between client or assignment locations during the workday.Travel from your final work location back to your home.Work at Home GuidanceTo 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 required.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.TB TestingThis 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.Language Proficiency TestingAny Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.Interview FormatAs part