Humana

RN Field Case Manager Nurse - Western KY

Humana  •  $25k - $98k/yr  •  Kentucky (Remote)  •  1 hour ago
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Job Description

Become a part of our caring community

Become a part of our caring community and help us put health first
The Field Care Manager Nurse 2 assesses and evaluates member needs to support health and wellness outcomes. You will partner with members, families, and care teams to develop and implement individualized care plans, coordinate services, and connect members to resources that address both clinical and social needs.
This is a field-based and telephonic position, where in-person versus telephonic engagement is guided by member needs, contractual requirements, and regulatory expectations.

The Field Care Manager Nurse 2 performs advanced nursing activities including:

  • Conduct comprehensive assessments to identify member needs, risks, and barriers to care
  • Develop and manage member-centered care plans with measurable goals and outcomes
  • Coordinate care across providers, community support systems
  • Monitor progress and adjusting interventions to ensure outcomes
  • Address social determinants of health, including housing, transportation, and access to care
  • Utilize evidence-based care pathways to guide clinical decision-making
  • Engage members using coaching and motivational interviewing techniques

Field-Based Responsibilities:

You will require travel to complete in-person visits with members in different environments to support holistic assessment and care coordination.

Visits may occur in:

  • Members' homes
  • Group homes or community living settings
  • Hospitals or skilled nursing facilities
  • Homeless shelters or community locations
  • Correctional facilities (e.g., prisons or jails) as part of reentry and transition planning

You will also conduct telephonic outreach and follow-up as part of ongoing care management.

Important Field visits—including those in nontraditional settings such as correctional facilities—are an expected and essential function of this role to ensure continuity of care and successful community reintegration.


Use your skills to make an impact

Required Qualifications

  • Must reside in Western Kentucky- preferably in the surrounding counties of Caldwell, Lyon, Crittenden, Livingston, Hopkins, Christian, or Trigg.
  • Active Registered Nurse (RN) license
  • Bachelor's degree in nursing or healthcare/human services related field.
  • 2+ years of experience working as a case manager or care manager
  • Experience working with adult populations
  • Knowledge of community health services, social services, and available resources
  • Proficiency in Microsoft Office (Word, Outlook, Excel) and electronic medical records

Preferred Qualifications

  • 3+ years of care coordination or community-based experience
  • Managed care experience
  • Experience with health coaching and wellness promotion
  • Case Management Certification (CCM or similar)
  • Motivational Interviewing training
  • Bilingual (English/Spanish): See the "Language Assessment Statement"

Additional Information

· Schedule/Time Zone: Monday through Friday, 8:00 AM – 5:00 PM Central Time Zone.

· Work Location: Western Kentucky

· Work Style: Field

· Travel Requirements: Up to 25% within a 120-mile radius to complete field visits.

Work-at-Home (WAH) Internet Statement: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

TB Statement: 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.

Driving Statement This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Interview Format: As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Language Assessment Statement: Any Humana employee 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.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$71,100 - $97,800 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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.


About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.


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

About Humana

Humana will never ask, nor require a candidate to provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact yourcareer@humana.com to validate the request

At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

Industry
Finance & Insurance
Company Size
10,000+ employees
Headquarters
Louisville, Kentucky
Year Founded
Unknown
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