Humana
Illinois State
Field Care Manager - RN
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- Location
- Illinois State
- Work type
- Hybrid
- Compensation
- $78,000 - $108,000/yr
- Posted
- 6 days ago
- Apply on
- humana.wd5.myworkdayjobs.com
About this role
Humana is a leading U.S. healthcare company, and they are seeking a Field Care Manager Registered Nurse (RN) to assess and evaluate members' needs to achieve optimal wellness. The role involves guiding members and families toward appropriate care resources and managing a member's health issues through various strategies.
What you'll do:
- Identifies and resolves barriers that hinder effective care
- Ensures member is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations
- Create plans of care
- Communicates with internal and external stakeholders
- Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas
- Follows established guidelines/procedures
- Visits Medicaid members in their homes, Supportive Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel (see Additional Information section)
What they're looking for:
- Applicants must reside in Cook, Lake or McHenry County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes: 60001, 60002, 60009, 60011, 60012, 60013, 60014, 60015, 60020, 60021, 60030, 60031, 60033, 60034, 60035, 60037, 60039, 60040, 60041, 60042, 60044, 60045, 60046, 60047, 60048, 60049, 60050, 60051, 60060, 60061, 60064, 60069, 60071, 60072, 60073, 60075, 60079, 60081, 60083, 60084, 60085, 60086, 60087, 60088, 60089, 60092, 60096, 60097, 60098, 60099, 60102, 60152, 60156, 60180
- Registered Nurse (RN) in the state of Illinois without disciplinary action
- Clinical nursing experience required (hospital, acute care, or home health)
- Ability to travel 75-90% within the state of Illinois
- Knowledge of community health and social service agencies and additional community resources
- 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
- Bachelor of Science in Nursing (BSN)
- 2+ years of experience of in-home case/care management
- Experience with Medicare/Medicaid members
- Experience with health promotion, coaching, and wellness
- Previous managed care experience
Benefits:
- Medical, dental and vision benefits
- 401(k) retirement savings plan
- Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- Short-term and long-term disability
- Life insurance
- Many other opportunities
- This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
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