Field Care Manager - RN

$78,200 - $107,600 / year

Become a part of our caring community

The Field Care Manager Registered Nurse (RN) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families toward resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.

The Field Care Manager Registered Nurse key roles and responsibilities may include the following:

Identifies and resolves barriers that hinder effective care.
Ensures member is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
Create plans of care.
Communicates with internal and external stakeholders.
Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
Makes decisions regarding own work methods (occasionally in ambiguous situations), requires minimal direction, and receives guidance where needed.
Follows established guidelines/procedures.
Visits Medicaid members in their homes, Supportive Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel (see Additional Information section).

Use your skills to make an impact

Required Qualifications

Applicants must reside in Cook, Lake or Mchenry County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes: 60001, 60002, 60009, 60011, 60012, 60013, 60014, 60015, 60020, 60021, 60030, 60031, 60033, 60034, 60035, 60037, 60039, 60040, 60041, 60042, 60044, 60045, 60046, 60047, 60048, 60049, 60050, 60051, 60060, 60061, 60064, 60069, 60071, 60072, 60073, 60075, 60079, 60081, 60083, 60084, 60085, 60086, 60087, 60088, 60089, 60092, 60096, 60097, 60098, 60099, 60102, 60152, 60156, 60180
Registered Nurse (RN) in the state of Illinois without disciplinary action.
Clinical nursing experience required (hospital, acute care, or home health
Ability to travel 75-90% within the state of Illinois
Knowledge of community health and social service agencies and additional community resources.
Exceptional communication and interpersonal skills with the ability to quickly build rapport.
Ability to work with minimal supervision within the role and scope.
Ability to use a variety of electronic information applications/software programs including electronic medical records.
Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
Humana's Tuberculosis (TB) screening Program This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Humana's Driver Safety Program This role is a part of Humana's Driver Safety program and therefore requires and individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.

Preferred Qualifications

Bachelor of Science in Nursing (BSN).
2+ years of experience of in-home case/care management
Experience with Medicare/Medicaid members.
Experience with health promotion, coaching, and wellness.
Previous managed care experience.
Bilingual — English, Spanish.
Certification in Case Management.
Motivational Interviewing Certification and/or knowledge in area.

Additional Information

Workstyle/Travel: This is a Hybrid – Home position that requires occasional onsite work at the market office in Schaumburg, Illinois, as well 75-90% travel in the field to visit members
Work Schedule: Monday - Friday; 8am - 5pm CST

Work at Home Requirements

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.
Associates 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 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.

Interview Format

As part of our hiring process, we will be using interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

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

Scheduled Weekly Hours

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.

$78,200 - $107,600 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description 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.

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Rush University Medical Center Chicago, IL

$37.50 - $57.19 / hour

Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Operating Room Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 4 Work Schedule: 8 Hr (7:00:00 AM - 3:00:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits). Pay Range: $37.50 - $57.19 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary The RN 1 is a beginning level nurse who utilizes a scientific and theoretical knowledge base along with policy and procedures, standards of care and protocols to guide practice. The RN 1 relies on the experience, judgment and support of others while developing knowledge in practice. The RN 1 exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures. Qualifications Other information: Knowledge Current State of Illinois Registered Nurse licensure required. Maintain current BLS certification. Bachelor’s degree in Nursing (BSN) or Associate’s degree in nursing (ADN) (New graduates must have acceptance into an accredited school of nursing within 6 months from date of hire, Within 1 year from the date of hire, employee must be enrolled in a BSN program. RNs hired prior to 10/22/2020 are grandfathered in with an Associate Degree in Nursing (ADN) or diploma in nursing, with no further need to obtain a Bachelor’s degree in Nursing (BAN or BSN). Chief Nursing Officer must provide approval for any RNs with ADN degree hired after 10/22/2020, based upon unit need. ADN RNs hired after 10/22/2020 must show continued enrolment towards a BSN degree with a signature of contract stipulating a BSN degree must be completed within 3 years of hire, Failure to do so will result in termination. ADN RNS are not eligible for leveling to RN3. Abilities Work requires the ability to walk throughout the Medical Center and to be standing or walking most of the designated shift. Work requires lifting or carrying objects 35-40lbs. and supporting and positioning patients, some of whom may exceed 300 lbs. The ability to check documents for errors, use a keyboard to enter or retrieve data, and closely examine specimens, images or reports is required. Work conditions include performing procedures where carelessness could result in injury or illness and/or contact with potentially infectious materials and/or strong chemical agents. Responsibilities Seeks out resources to assist in the management of new patient situations. Uses evidence based guidelines (P&P, nursing standards of care, protocols and pathways) consistently. Supports a hospital wide innovation to achieve positive outcomes. Establishes a caring, therapeutic relationship with patients and families through effective communication, acknowledgement of patient/family perceptions of health and illness and mutual goal setting for optimal outcomes Treats patients and families with respect and a sensitivity for diverse viewpoints and cultures. Maintains positive, professional relationships with all members of the healthcare team. Works effectively with other professional nurses through mutual support and respect. Demonstrates beginning collaboration skills to meet the needs of patients and families. Utilizes beginning assessment skills to evaluate the physical and psychosocial needs of patient/family. Uses scientific and theoretical knowledge to develop and implement the plan of care for assigned patients with support from experienced staff. Recognizes a change in patient status and seeks appropriate resources to address concerns. Uses medical devices safely and effectively in the delivery of patient care and seeks guidance when needed. Demonstrates accountability for implementing policies related to safe and effective administration of medications. Assesses patient safety needs and implements appropriate strategies (fall precautions, infection control, and suicide risk patient identification) to minimize risk and seeks guidance when needed. Applies the teaching-learning process effectively to meet the learning needs of patients and families. Demonstrates accountability for own professional practice, including progress toward achievement of annual goals with guidance. Supports unit goals and change initiatives. Demonstrates beginning delegation skills to meet the needs of patients. Other duties as assigned. Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.