Field Care Manager Registered Nurse RN Maternity Mother/Baby

Profile

Description

The Field Care Manager 2 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 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Field Care Manager 2 employs a variety of strategies, approaches, and techniques to manage health and well-being concerns of Medicaid enrollees from an integrated Medical and Behavioral Health approach with added focus on addressing social determinants of health. An associate in this role Identifies and resolves barriers that hinder effective care while using the support and resources of the Humana Medicaid Interdisciplinary Care Team and the enrollee's multi-disciplinary team. The Field Care Manager 2, through regular face to face and telephonic contact, active assessment and individualized care planning proactively assists in helping enrollees meet health, well-being and social determinant of health goals.

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, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

This position will be supporting the Mom's First program and will require:

(Please review full job descripton for additional requirements)

Minimum of 2 years experience working with maternity, OB, and/or Mother/Baby population

Experience working with local community health and social service resources.

Eastern Kentucky County Locations: Bath, Bell, Boyd, Breathitt, Carter, Clay, Elliott, Estill, Fleming, Floyd, Greenup, Harlan, Jackson, Johnson, Knott, Laurel, Lawrence, Lee, Leslie, Letcher, Lewis, Magoffin, Martin, McCreary, Menifee, Nicholas, Owsley, Pike, Perry, Powell, Robertson, Rowan, Whitley, Wolfe

Required Qualifications

Must have an active Registered Nurse, RN, License in the state of Kentucky without Disciplinary action

Minimum 2 years experience working with maternity, OB, and/or Mother/Baby population

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

Excellent keyboard and web navigation skills

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Additional Requirements/Adherence

Workstyle: Combination Work at Home and Onsite Visits

Location: EasternKentucky Counties

Bath, Bell, Boyd, Breathitt, Carter, Clay, Elliott, Estill, Fleming, Floyd, Greenup, Harlan, Jackson, Johnson, Knott, Laurel, Lawrence, Lee, Leslie, Letcher, Lewis, Magoffin, Martin, McCreary, Menifee, Nicholas, Owsley, Pike, Perry, Powell, Robertson, Rowan, Whitley, Wolfe

Hours:

Monday through Friday 40 hour work schedule

Flexible 5 days a week or 4 10 hour shifts

Travel: 20% travel to member's residence within 30 to 40 mile radius

Work at Home Requirements:

Must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work

Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana At Home systems if 25Mx10M

Automobile, Insurance, Driver's License

This role is a part of Humana's Driver Safety program and therefore requires and individual to have

A valid state driver's license

Reliable Transportation

Proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.

Tuberculosis (TB) screening program

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.

Preferred Qualifications

BSN

3-5 years of in home assessment and case/care management and/or coordination experience

Experience with health promotion, coaching and wellness

Previous managed care experience

Bilingual - English, Spanish, other

Certification in Case Management

Motivational Interviewing Certification and/or knowledge

Experience with Substance Use Disorder and Neonatal Abstinence Syndrome

Residing in Eastern Kentucky regions,

Additional Information

Covid Policy

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting screening and interviewing technology called Modern Hire to enhance our hiring and decision-making ability. We use this technology to gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

You will be able to respond to the recruiters preferred response method via text, video or voice technologies If you are selected for a screen, you may receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate. You should anticipate this screen to take about 15 to 30 minutes. Your recorded screen will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com