You'll do telephone and face-to-face assessments, write individualized care plans, and coordinate transitions of care for Medicaid members.
Eligibility
Case ManagementCommunity HealthManaged CareGeriatrics
Posted Jun 25
Shift and hours
Monday through Friday, 8:00 AM to 5:00 PM40 hours a week
Unit and setting
Region 2 parishes, including Baton Rouge, Gonzales and Donaldsonville · Home Health You will report to the Manager, Care Management and support members on the Medicaid Team.Medicaid members
License
RN license Unrestricted Registered Nurse license in the state of Louisiana with 2 years of experience of in-home case/care managementUnrestricted Louisiana RN license
Term
Permanent The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employmentFull time, 40 hours a week
Do you qualify?
License
Unrestricted Louisiana RN licenseUnrestricted Registered Nurse license in the state of Louisiana with 2 years of experience of in-home case/care managementCheck your license
Experience
2 years of in-home case or care management
Also asks
Experience across youth, adult and geriatric populationsExperience working with all populations (youth, adult, geriatric)
Also asks
Electronic medical records and web navigation skillsExperience using a variety of electronic information applications/software programs including electronic medical records with excellent keyboard and web navigation skills
Also asks
Live in Louisiana, work full time, travel up to 50 miles to member homesMust reside in Louisiana and can work a full-time (40 hours minimum) flexible work schedule and travel to member's residence within 50 miles
Also asks
Valid state driver's licenserequires an individual to have a valid state driver's license
Also asks
Ability to document visits on mobile devices in members' homesMust document clinical assessments and care activities electronically using mobile devices and digital health record systems while working in members' homes.
Also asks
ILR language test if you speak with members in a language other than EnglishApplicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
Preferred
Certification
Certification in Case Management
Certification
Motivational Interviewing certification or knowledgeMotivational Interviewing Certification or knowledge
Experience
3+ years of experience
Also asks
Previous managed care experience
Also asks
Experience with health promotion, coaching and wellness
Also asks
Bilingual in English and SpanishBilingual - English, Spanish
What it pays
Bonus
Bonus incentive planThis incentive opportunity is based upon company and/or individual performance.Company and/or individual performance
Pay reviews
Pay varies with skills, experience, education and certificationsindividual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Benefits
BenefitsMedical, dental and vision benefitsHumana provides medical, dental and vision benefits
Benefits401(k) retirement savings plan401(k) retirement savings plan
BenefitsPaid time off, company and personal holidays, volunteer time off, paid parental and caregiver leavetime off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
BenefitsShort-term and long-term disabilityshort-term and long-term disability, life insurance
BenefitsLife insurance
Mileage reimbursement
More benefits (12)
Paid parental leave
Health insurance
Dental insurance
401(k)
Disability insurance
Paid holidays
Paid time off
Vision insurance
Bonus opportunities
Volunteer time off
Caregiver leave
Work from home
The role and schedule
Day to day
telephone and face-to-face member assessments
Day to day
individualized care plans
Day to day
monitoring member progress with reassessmentsEnsure members are progressing toward desired health outcomes through ongoing monitoring, reassessments, and evaluations.
Day to day
coordinating physical health, social and value-added servicesCoordinate delivery of needed services and support related to Physical Health, Social Determinants of Health, and value-added benefits.
Day to day
care transitions with the wider team and primary care providersPartner across the transdisciplinary care team, including primary care providers, and support transitions of care.
Day to day
field visits to members within your assigned regionThis travel will be at least 75% of the time within your assigned Region where you reside.
Charting
Mobile digital charting during home visits
Travel
Occasional trips to Humana's offices for training or meetingsTravel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Details
Mix of remote work and home or onsite member visitsWorkstyle: Combination remote work at home and onsite/home member visits
Details
Home internet of at least 25 Mbps down and 10 Mbps upAt minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required
Details
Dedicated workspace free of ongoing interruptionsWork from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Details
Company-provided telephone equipment for home-based staffHumana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Details
Own vehicle insurance at state minimum limitsIndividual must carry vehicle insurance in accordance with their residing state minimum required limits
Details
Mileage reimbursed for work travelMileage reimbursement is provided for work-related travel.
Details
TB screening, because the role is patient facingIf selected for this role, we will screen you for TB.
Details
Former LDH Medicaid staff must have been separated two or more yearsA separation of two (2) or more years from LDH is required for consideration.
The Field Care Manager Nurse (Physical Health) plays a critical role in assessing and coordinating care to support members in achieving and maintaining health outcomes. The Field Care Manager uses a holistic, member-centered approach involving partnering with members and their families to identify needs, address barriers to care, and connect them with appropriate clinical, community, and social resources. The role involves telephonic and face-to-face assessments, creating individualized care plans, collaborating with providers and community resources, and supporting transitions of care on the Medicaid Team.
