In-Home RN Field Care Manager

Become a part of our caring community Humana Healthy Horizons in Virginia is seeking RN, Field Care Managers to perform telephonic and face‑to‑face assessments and evaluations of the needs and requirements of our long‑term services and support (LTSS) and aged, blind and disabled (ABD) member population. The RN, Field Care Manager supports achieving and/or maintaining optimal wellness by guiding members/families toward and facilitating interaction with resources appropriate for the care and well‑being of members. They work assignments that are varied and frequently require interpretation and independent determination of the appropriate courses of action. This role involves meeting members in the field at their home or location of the member's choice, spending quality time assessing their goals, needs and barriers and then connecting our members with quality services to promote their ultimate well‑being and drive person centered health outcomes. Responsibilities Review, analyzes for medical complexity. Develop member individualized care plans. Employ a variety of evidence‑based strategies, and techniques to manage a member's physical, environmental, and psychosocial health. Identify and resolve barriers that hinder effective care. Ensure member is progressing towards desired outcomes by continuously monitoring member care through comprehensive assessments and/or evaluations. Make autonomous decisions, occasionally in ambiguous situations. Require minimal direction and receive guidance where needed. Understand department, segment, and organizational strategy and operating goals, including their linkages to related areas. Follow established guidelines/procedures. Use your skills to make an impact Required Qualifications Must reside in the Tidewater Region in the Commonwealth of Virginia in the counties/independent Cities of Suffolk, Franklin, Chesapeake, Portsmouth, or Isle of Wright Active Registered Nurse (RN) license in the Commonwealth of Virginia without disciplinary action. Two (2) years of prior experience in health care and/or case management. One (1) year of experience working with individuals who meet the Cardinal Care Priority Population criteria (adult and pediatric populations at risk for chronic medical conditions & high social needs). Knowledge of community health and social service agencies and additional community resources. Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel. Ability to use a variety of electronic information applications/software programs including electronic medical records. Excellent keyboard and web navigation skills. Exceptional communication and interpersonal skills with the ability to quickly build rapport. Ability to work with minimal supervision. Ability to work a full‑time schedule. This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program; if selected, you will be required to be screened for TB. Ability to travel to region‑based facilities and homes for face‑to‑face assessments and interactions with members and/or families. This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and maintain personal vehicle liability insurance in accordance with the residing state's minimum required limits. Preferred Qualifications Bachelor of Science in Nursing (BSN). Certification in Case Management (CCM). Previous managed care experience. Motivational Interviewing Certification and/or knowledge. 3‑5 years of in‑home assessment and care coordination experience. Experience with disease management, health promotion, coaching and wellness. Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance. Additional Information Workstyle: Field - This is a field position where employees perform their core duties at non‑company locations, such as providing services at business partner facilities or prospects' and members' homes. Travel: 50 - 75% field interactions with members, and their families and providers. May need to attend onsite meetings occasionally in Humana Healthy Horizons office in Glen Allen, VA. Workdays and Hours: Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST). Language Assessment Statement: Any 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. Description of Benefits Humana, Inc. and its affiliated subsidiaries offer competitive benefits that support whole‑person well‑being. Associate benefits include medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short‑term and long‑term disability, life insurance and many other opportunities. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. #J-18808-Ljbffr Humana Inc