RN Field Case Manager/Care Coach

Position Responsibilities:

The Care Coordinator 2 employs a variety of strategies, approaches, and techniques to manage a member’s physical, environmental, and psycho-social health issues. Identifies and resolves barriers that hinder effective care.

• Facilitate the development of a longitudinal and trusting relationship with each member toward improved quality, continuity, and coordination of care.
• Responsible for the coordination of all the member’s needed medical and non-medical services, including functional, social, and environmental services.
• Works collaboratively with the Service Coordinator, Transition Coordinator, and other care team staff to address the member’s identified needs
• Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers as appropriate to coordinate the care and benefits of members who are also eligible for Medicare.
• Primary point of contact for the Interdisciplinary Care Team (ICT) and shall be responsible for coordinating with the member, ICT participants, and outside resources to ensure the member’s needs are met.

Required Qualifications

• Perform job responsibility in Indiana
• Licensed Registered Nurse (RN) in the state of Indiana without restrictions
• At least one (1) year of experience in providing case management or similar health care services
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
• Proven ability of critical thinking, organization, written and verbal communication and problem- solving skills.
• Ability to manage multiple or competing priorities in a fast-paced environment.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.

Additional Requirements/Adherence

Workstyle: Combination remote work at home and onsite member visits

Location: Must reside in Indiana

Hours: Must be able to work a 40-hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs.

Travel: Must be willing to commute about 70% to meet with members.

On Call-Telephonic on call for an occasional night and/or weekend may be required.

Work at Home Guidance

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Humana will provide Home or Hybrid Home/Office associates 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.

Driver's License, Transportation, Insurance This role is a part of Humana's Driver Safety program and therefore requires and individual to have:

• Valid state driver's license
• Proof of personal vehicle liability insurance with at least $100,000/$300,000/$100,000 limits
• Access to a reliable vehicle

Tuberculosis (TB) screening program

• This role is considered patient facing and is part of Humana at Home's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Job Type: Full-time

Pay: $69,800.00 - $87,400.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Mileage reimbursement
• Paid time off
• Parental leave
• Retirement plan
• Tuition reimbursement
• Vision insurance
• Wellness program

Medical Specialty:

• Home Health

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Nursing: 1 year (Required)
• Case management: 1 year (Required)

License/Certification:

• RN (Required)

Willingness to travel:

• 75% (Required)

Work Location: In person

Salary : $69,800 - $87,400