Field Care Manager Physical Health RN

📋 Description

• • As a Field Care Manager Physical Health RN at Humana Inc., you will be at the forefront of delivering compassionate and comprehensive healthcare support to members in Louisiana. This vital role involves assessing and evaluating the unique needs and requirements of individuals to help them achieve and maintain their optimal state of wellness. You will act as a crucial guide, connecting members and their families with appropriate resources and facilitating interaction to ensure their care and well-being.
• • Your work assignments will be diverse and dynamic, frequently requiring independent interpretation and determination of the most effective courses of action to address complex health and social challenges. This position offers a unique opportunity to make a tangible difference in the lives of members by employing a holistic, member-focused approach.
• • You will engage and empower members and their families by utilizing a range of strategies designed to support recovery, promote health maintenance, and encourage active participation in wellness programs. This involves building trust and rapport to foster a collaborative environment for achieving health goals.
• • A significant aspect of your role will be conducting thorough telephonic and in-person assessments. These assessments are critical for evaluating member needs, identifying barriers to care, and guiding them and their families toward the most suitable resources to achieve and sustain their best possible health outcomes.
• • Continuous monitoring of member progress is essential. Through regular assessments and evaluations, you will ensure that members are advancing toward their individualized care goals and that care plans remain relevant and effective.
• • You will be responsible for developing and implementing personalized care plans. These plans will be based on your clinical judgment, informed by changes in member health status, psychosocial factors, and identified triggers, ensuring targeted and effective clinical interventions are provided.
• • Effective collaboration is key to success in this role. You will work closely with healthcare providers, community organizations, and various service providers to facilitate the delivery of high-quality, cost-effective care and support for members, ensuring a coordinated approach to their health journey.
• • You will coordinate the delivery of essential services, addressing not only physical health needs but also the critical social determinants of health and other value-added benefits that comprehensively support members in their entirety.
• • Facilitating seamless communication and coordination across the interdisciplinary care team, including primary care providers, is paramount to ensuring integrated service delivery and smooth transitions of care for members.
• • A strong understanding of departmental, segment, and organizational strategies and objectives is required, ensuring your daily practices align with broader operational goals and contribute to Humana's mission.
• • Accurate and timely documentation is a critical component of this role. You will be responsible for meticulously documenting all assessments, interventions, and progress, as well as accurately submitting incident reports in accordance with organizational policies and regulatory requirements, ensuring compliance and quality assurance.
• • This role requires a commitment to patient safety and well-being, including participation in Humana's Tuberculosis (TB) screening program. You will also be expected to maintain a safe driving record and ensure personal vehicle liability insurance meets or exceeds state minimums, as travel is a significant component of the role.
• • You will leverage intermediate to advanced computer skills, including proficiency with Microsoft Word, Outlook, and Excel, and possess excellent keyboard and web navigation skills for efficient documentation and information retrieval.
• • The ability to work with minimal supervision, demonstrating initiative and sound judgment within the scope of your role, is essential for success in this field-based position.
• • You will be expected to reside in Louisiana and maintain a flexible work schedule to accommodate member needs, including potential overtime as required, while traveling within a 50-mile radius of your residence for home visits.