RN, Field Care Manager – Central Region

• Perform telephonic and face-to-face assessments and evaluations of LTSS population needs and requirements
• Meet members in the field at their homes or locations of their choice
• Assess members’ goals, needs, and barriers
• Connect members with quality services to promote well-being and person-centered health outcomes
• Review and analyze members for medical complexity
• Develop individualized care plans
• Apply evidence-based strategies to manage physical, environmental, and psychosocial health
• Identify and resolve barriers to effective care
• Continuously monitor care through comprehensive assessments and evaluations
• Cover colleagues’ caseloads of aged, blind, and disabled members as needed
• Work with minimal direction and receive guidance where needed
• Understand and apply department, segment, and organizational strategy and operating objectives
• Follow established guidelines and procedures
• Travel 50–75% for field interactions with members, families, and providers
• Attend occasional onsite meetings at the Humana Healthy Horizons office in Glen Allen, Virginia
• Work Monday–Friday, 8:00 a.m.–5:00 p.m. Eastern Standard Time

Requirements

• Must reside in the Central Region in the Commonwealth of Virginia in Richmond, Glen Allen, Henrico, Sandston, or Chesterfield
• 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
• Knowledge of community health and social service agencies and additional community resources
• Intermediate to advanced computer skills
• Experience with Microsoft Word, Outlook, and Excel
• Ability to use electronic information applications/software programs including electronic medical records
• Exceptional communication and interpersonal skills with the ability to quickly build rapport
• Ability to work a full-time schedule
• Ability to travel to region-based facilities and homes for face-to-face assessments and interactions
• Bachelor of Science in Nursing (BSN) preferred
• Certification in Case Management (CCM) preferred
• Previous managed care experience preferred
• Motivational Interviewing Certification and/or knowledge preferred
• 3–5 years of in-home assessment and care coordination experience preferred
• Experience with disease management, health promotion, coaching and wellness preferred
• Bilingual or multilingual abilities in English/Spanish, Arabic, Vietnamese, Amharic, Urdu, or another language preferred; must speak, read, and write both languages without limitations and assistance
• Must complete an ILR language proficiency assessment when speaking with members in a language other than English
• Must undergo tuberculosis (TB) screening if selected
• Self-provided internet service must provide at least 25 Mbps download and 10 Mbps upload for home or hybrid home/office work
• Must work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information

Core Competencies

Demonstrates expertise in conducting assessments and developing individualized care plans for the LTSS population, utilizing evidence-based strategies to enhance health outcomes. Proficient in community health resources and case management, with strong communication skills to build rapport with members.

Highest-signal resume keywords

• Active Registered Nurse (RN) License
• Two Years of Health Care Experience
• Experience with Electronic Medical Records
• Certification in Case Management (CCM)
• Bilingual or Multilingual Abilities

Hard Skills

• In-Home Assessment
• Care Coordination
• Disease Management
• Health Promotion
• Motivational Interviewing
• Individualized Care Plans
• Evidence-Based Strategies
• Community Health Knowledge
• Intermediate to Advanced Computer Skills
• Electronic Information Applications

Soft Skills

• Exceptional Communication Skills
• Interpersonal Skills
• Ability to Build Rapport
• Ability to Work Independently
• Problem-Solving Skills

Certifications & Qualifications

• Registered Nurse (RN) License
• Certification in Case Management (CCM)
• Motivational Interviewing Certification

Industry Keywords

• LTSS Population
• Case Management
• Community Health
• Health Outcomes
• Person-Centered Care
• Aged, Blind, and Disabled Members
• Cardinal Care Priority Population
• PHI/HIPAA Compliance
• Tuberculosis (TB) Screening
• Language Proficiency Assessment

Tools & Technologies

• Microsoft Word
• Microsoft Outlook
• Microsoft Excel
• Electronic Medical Records Software
• Telephonic Assessment Tools