RN, Field Care Manager (LTSS/ABD)

Become a part of our caring community   Humana Healthy Horizons in Virginia is seeking RN, Field Care Managers (Field Care Manager Nurse 2) to perform telephonic and face-to-face assessments and evaluations of the needs and requirements of our long-term services and support (LTSS) and aged, blind and disabled (ABD)member population. The RN, Field Care Manager supports achieving and/or maintaining optimal wellness by guiding members/families toward and facilitating interaction with resources appropriate for the care and well-being of members. They work assignments that are varied and frequently require interpretation and independent determination of the appropriate courses of action..

Role Overview This role involves meeting members in the field at their home or location of the member's choice, spending quality time assessing their goals, needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive person centered health outcomes. Reviews, analyzes, assesses, and attests for medical complexity. Develops member individualized care plans. Employs a variety of evidence-based strategies, approaches, and techniques to manage a member's physical, environmental, and psychosocial health. Identifies and resolves barriers that hinder effective care. Ensures member is progressing towards desired outcomes by continuously monitoring member care through comprehensive assessments and/or evaluations. Makes autonomous decisions, occasionally in ambiguous situations. Requires minimal direction and receives guidance where needed. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Follows established guidelines/procedures. Use your skills to make an impact   Required Qualifications Must reside in Richmond, Virginia area and be available to see members in the community Active Registered Nurse (RN) license in the Commonwealth of Virginia without disciplinary action. 2 years of prior experience in health care and/or case management. 1 year of experience working with individuals who are at risk for chronic medical conditions & high social needs ( adult and pediatric populations). Knowledge of community health and social service agencies and additional community resources. Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel with the ability to use a variety of electronic information applications/software programs including electronic medical records. Excellent keyboard and web navigation skills. Exceptional communication and interpersonal skills with the ability to quickly build rapport. Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families.

Bachelor of Science in Nursing (BSN). Certification in Case Management (CCM). Previous managed care experience. Experience with in-home assessment and care coordination Experience with disease management, health promotion, coaching and wellness. Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance. See “Additional Information” section for more information.

Workstyle: Field - This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes. Workdays and Hours: 40 hours a week - Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST). Travel: 50 - 75% field interactions with members, and their families and providers Richmond, VA area . May need to attend onsite meetings occasionally in Humana Healthy Horizons office in Glen Allen, VA. Driver Safety: This role is part of Humana's driver safety program and therefore requires an individual to have