Field Care Manager RN

The Field Care Manager Nurse (Physical Health) plays a critical role in assessing and coordinating care to support members in achieving and maintaining health outcomes. The Field Care Manager uses a holistic, member-centered approach. This approach involves partnering with members and their families to identify needs, address barriers to care, and connect them with appropriate clinical, community, and social resources. BWe are looking for clinical judgment, independence, and comfortable operating in evolving environments, as work assignments are varied and often require interpretation and determination of the most appropriate course of action. The Field Care Manager addresses members' physical, environmental, and psychosocial health needs while promoting quality, cost‑effective care. You will report to the Manager, Care Management and support members on the Medicaid Team. You will: Use a holistic, member-centric approach to engage and motivate members and their families through recovery, health, and wellness programs. Perform telephonic and face‑to‑face assessments to evaluate members' needs and support achievement and maintenance of wellness by connecting members and families to appropriate resources. Ensure members are progressing toward desired health outcomes through ongoing monitoring, reassessments, and evaluations. Provide clinical interventions through the creation and implementation of individualized care plans based on clinical judgment, changes in physical or psychosocial health, and identified triggers. Collaborate with providers, caregivers, and community resources to promote high‑quality, cost‑effective outcomes. Coordinate delivery of needed services and support related to Physical Health, Social Determinants of Health, and value‑added benefits. Partner across the transdisciplinary care team, including primary care providers, and support transitions of care. Demonstrate understanding of department, segment, and organizational strategies and operating goals, and how they align with related areas. Submit incident reports following organizational and regulatory requirements. Cover either Region2, which includes the following parishes: St.Francisville, Clinton, Bayou L'Ourse, Angola, Jackson, Baton Rouge, Addis, Bursly, Rosedale, Plaquenmine, Gonzales, Prairieville, Donaldsonville, Livonia, New Roades, Lettsworth. Required Qualifications Unrestricted Registered Nurse license in the state of Louisiana with 2years of experience in in‑home case/care management. 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. Must document clinical assessments and care activities electronically using mobile devices and digital health record systems while working in members' homes. Engage members and caregivers during in‑home visits to conduct assessments, explain care plans, and support trust‑based relationships. Autonomously work 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 50miles. Preferred Qualifications 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. Workstyle Combination remote work at home and onsite/home member visits. Hours Work a 40‑hour work week, Monday through Friday 8:00 AM to 5:00 PM. Overtime may be requested with approval. Travel Travel will be at least 75% of the time within your assigned Region where you reside. Travel requirements may vary based on member tier level. Must be willing to travel. Driver's License & Vehicle Insurance Individual must carry a valid state driver's license. Must maintain personal vehicle liability insurance in accordance with state minimum required limits. Mileage Reimbursement Travel from your home to your first work location of the day. Travel between client or assignment locations during the work day. Travel from your final work location back to your home. Language Proficiency Testing Any associate who speaks with a member in a language other than English must take a language proficiency assessment (Interagency Language Rating test) to ensure competency. Scheduled Weekly Hours 40. Pay Range $71,100–$97,800 per year. This is a starting base pay estimate for full‑time employment. Compensation may vary based on geographic location, experience, education, and certifications. Benefits Humana offers medical, dental and vision benefits, a 401(k) retirement savings plan, paid time off (including holidays and volunteer time off), paid parental and caregiver leave, short‑term and long‑term disability, life insurance and other opportunities. Equal Opportunity Employer Humana is an equal opportunity employer. It does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. The company takes affirmative action in hiring, promotion, and other employment actions. #J-18808-Ljbffr