RN Full-time
Humana

Field Care Manager - RN

$78,200 - $107,600 / year

Become a part of our caring community and help us put health first

 

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 Cass, Christian, Logan, Mason, Menard, Morgan, Sangamon, or Scott County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes:  61532, 61546, 61567, 61723, 61751, 62083, 62510, 62512, 62515, 62517, 62518, 62519, 62520, 62530, 62531, 62536, 62539, 62540, 62541, 62543, 62545, 62546, 62547, 62548, 62550, 62555, 62556, 62557, 62558, 62561, 62563, 62567, 62568, 62570, 62601, 62610, 62611, 62612, 62613, 62615, 62617, 62618, 62621, 62622, 62625, 62627, 62628, 62629, 62631, 62633, 62634, 62635, 62638, 62642, 62643, 62644, 62650, 62651, 62655, 62656, 62659, 62660, 62661, 62662, 62663, 62664, 62665, 62666, 62668, 62670, 62671, 62673, 62675, 62677, 62682, 62684, 62688, 62689, 62691, 62692, 62693, 62694, 62695, 62701, 62702, 62703, 62704, 62705, 62706, 62707, 62708, 62711, 62712, 62713, 62715, 62716, 62719, 62721, 62722, 62723, 62726, 62736, 62739, 62746, 62756, 62757, 62761, 62762, 62763, 62764, 62765, 62766, 62767, 62769, 62776, 62777, 62781, 62786, 62791, 62794, 62796.
  • 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

40

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

 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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.

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Humana

Manager, Care Management

$86,300 - $118,700 / year
Become a part of our caring community Humana Gold Plus Integrated is looking for Managers of Care Management who will lead teams of nurses, care coordinators and behavioral health professionals responsible for care management. The Manager, Care Management, works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules, and goals. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. The Manager, Care Management supervises, direct and evaluate a diverse group of health care professionals to assure effectiveness of care coordination activities. Leads cross-functional collaboration through regular briefings and area meetings; maintains ongoing communication with departmental managers to ensure alignment and operational efficiency. Identify members for specific case management and / or disease management activities. Monitors case management activities, post-discharge calls, discharge planning and pre-assessment of elective admissions. Develop system-view recommendations, reports trends and implement appropriate actions to control trends. Develop audit plans and tools for teams to ensure compliance with state contracts on performance metrics and to ensure member needs are met. Develop reporting tools in collaboration with leadership to identify clinical performance. Interviews, hires, mentors, evaluates, coaches and manage performance for a diverse care coordination team. Onboards new associates including but not limited all pre-employment human resource tasks, ordering software, hardware, supplies and support technologies. Monitors performance of staff including service performance and adherence to established utilization and care coordination benchmarks. Use your skills to make an impact Required Qualifications Applicants must reside in the state of Illinois within one of the following counties OR within a 30‑mile radius in a bordering county or state: Champaign, Coles, De Witt, Douglas, Edgar, Ford, Grundy, Iroquois, Kankakee, Livingston, Macon, McLean, Moultrie, Piatt, Vermillion. An active, unrestricted, Registered Nurse (RN) license, Licensed Clinical Social Worker (LCSW) OR Licensed Clinical Professional Counselor (LCPC) in the state of Illinois. Five (5) or more years of professional experience working in the health care industry and/or in care management. Two (2) or more years of leadership experience. Comprehensive knowledge of all Microsoft Office applications, specifically Word, Excel, and PowerPoint. Ability to use a variety of electronic information applications/software programs including electronic medical records. Proficiency in analyzing and interpreting data trends. This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Ability to travel throughout the state of Illinois. This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individuals must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. Preferred Qualifications Advanced degree in nursing or business health field. Certified Case Manager (CCM). Previous experience working in a managed care field. Five (5) or more years of previous management/supervisor level experience to include hiring, training, mentoring and coaching associates. Prior experience with healthcare quality measures STARS, HEDIS, etc. and/or clinical program monitoring/evaluation. Knowledge of community health and social service agencies and additional community resources. 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 language assessment information. Additional Information Workstyle: This is a remote position that requires travel. Travel: 50 – 75% field-based interactions conducting care team oversight visits, meeting with members and/or their families, community partners and other care teams. May need to attend occasional onsite meetings in Humana's Illinois locations. Mileage Reimbursement for Travel: Mileage reimbursement is provided for work-related travel. Eligible mileage includes travel from your home to your first work location, travel between client or assignment locations during the workday, and travel from your final work location back to your home. Typical Workdays and Hours: Monday - Friday 8:00 AM - 5:00 PM CST. May need to be provide flexibility with work schedule based on business needs. Direct Reports: Up to 15 associates. Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. WAH Internet Statement To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees 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 employees 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 for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 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. $86,300 - $118,700 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.
Humana

Registered Nurse Clinical Manager

$84,900 - $116,800 / year
Become a part of our caring community and help us put health first $10,000 SIGN ON BONUS! Job Description Work Schedule : Full-time/40 Hours Position Type : On-site Branch Location : Oak Brook, IL This is NOT a remote or work-from-home position. You will sit on-site at our Oak Brook, IL branch location. As the RN Clinical Manager, you will oversee all direct care patient services provided by clinical personnel. You will be a focused on both home health clinical quality assurance and home health clinical operations plans. You will report to the Branch Director in the Oak Brook, IL branch location. Develop, plans, implements, analyzes, and organizes clinical operations for a specific location managed. Conduct/delegate the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while following Company, physician, or health facility procedures. Manage the assignment of caregivers. Responsible for and oversees the delivery of care to all patients served by the location. Receive case referrals. Review available patient information related to the case, including disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet admission criteria and make the decision to admit patients to service. Assign appropriate clinicians to a case. Instruct and guide clinicians to promote more engaging performance and delivery of quality home care services and is available during operating hours to assist clinicians. Assist clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing patient Plan of Care (POC). Monitor cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensure final audits/billing are completed and in compliance with Medicare regulations. Coordinate communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning. Work together with the Branch Director and Company Finance Department to establish location's revenue and budget goals. Participate in sales and marketing initiative. Oversee all clinical employees assigned to a specific location. Responsible for the coordination, and evaluation of the location. Manage supervisory responsibilities following Company procedures. Handle necessary employee corrective action and discipline issues fairly and objectively, with the Human Resources Department and the Executive Director/Director of Operations. Participate in the interviewing, hiring and development of direct care clinicians. Evaluate their performance relative to job goals and requirements. Coach staff and recommends in-service education programs, when needed. Ensure adherence to internal policies. Assess staff education needs based on the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education. Analyze situations, identifies problems, evaluate alternative courses of action through the use of Performance Improvement principles. Responsible for the QA/PI activities. Work with Utilization Review staff relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system and any other systems and process. Competently perform patient care assignments and staff management activities. Provide direct patient care on an infrequent basis and only in times of emergency. Step in as the Branch Director in their absence. Interpret Company standards and Company procedures to ensure compliance with external regulatory authorities and ensure that caregiver clinical documentation meets internal standards. Participate in performance improvement activities, maintain ongoing clinical knowledge through internal and external training programs. Provide interpretation of knowledge and direction to staff. Maintain relationships with referral/community sources. Participate in professional organizations and conduct care-related programs. Use your skills to make an impact Required Experience/Skills: Graduate of an accredited School of Nursing. Current state license as a Registered Nurse. Proof of current CPR. Valid driver's license, auto insurance and reliable transportation. Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment. Home health experience is required. Management and people leadership experience, preferred. OASIS experience, required. OASIS certification (HCS-O, COQS, or COS-C), preferred. Homecare Homebase (HCHB) experience, preferred. CMS PDGM billing knowledge or experience, preferred. Additional Information Normal Hours of Operation: M-F / 8a-5p (CT) On-Call Expectation: Minimal Branch Size: 160+ Census (5 STAR rating) Scheduled Weekly Hours 40 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. $84,900 - $116,800 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 CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. ​ 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.
Humana

Field Care Manager - RN

$78,200 - $107,600 / year
Become a part of our caring community and help us put health first 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 Bureau, Grundy, Kendall, LaSalle or Putnam County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes: 60407, 60416, 60437, 60444, 60447, 60450, 60470, 60474, 60479, 60512, 60518, 60531, 60536, 60537, 60538, 60541, 60543, 60545, 60549, 60551, 60557, 60560, 61301, 61312, 61314, 61315, 61316, 61317, 61320, 61321, 61322, 61323, 61325, 61326, 61327, 61328, 61329, 61330, 61332, 61334, 61335, 61336, 61337, 61338, 61340, 61341, 61342, 61344, 61345, 61346, 61348, 61349, 61350, 61354, 61356, 61358, 61359, 61360, 61361, 61362, 61363, 61364, 61368, 61370, 61371, 61372, 61373, 61374, 61376, 61379, 61560. 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 40 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large. ​ 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.
Humana

Field Care Manager - RN

$78,200 - $107,600 / year
Become a part of our caring community and help us put health first 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 Edgar, Iroquois, Kankakee, or Vermilion County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes: 60901, 60910, 60911, 60912, 60913, 60914, 60915, 60917, 60918, 60922, 60924, 60926, 60927, 60928, 60930, 60931, 60932, 60935, 60938, 60939, 60940, 60941, 60942, 60944, 60945, 60948, 60950, 60951, 60953, 60954, 60955, 60956, 60958, 60960, 60961, 60963, 60964, 60966, 60967, 60968, 60969, 60970, 60973, 60974, 61810, 61811, 61812, 61814, 61817, 61831, 61832, 61833, 61834, 61841, 61844, 61846, 61848, 61850, 61857, 61858, 61865, 61870, 61876, 61883, 61917, 61924, 61932, 61933, 61940, 61944, 61949, 61955. 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 40 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large. ​ 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.
Northwestern Medicine

Registered Nurse CDH Interventional Holding/Recovery Full-time Days

Description The Staff Nurse Inpatient reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. A clinically competent, registered, professional nurse who prescribes, delegates and coordinates nursing care to the acutely ill patient through the nursing process of assessment, planning, intervention, implementation and evaluation. Effectively interacts with patient, significant others, and other health team members, while maintaining ANA standards of professional nursing practice. Responsibilities: Collects and analyzes data, identifies expected outcomes, develops and implements an individualized plan, coordinates care delivery and evaluates progress toward attainment of outcomes. Directs care and determines the appropriate utilization of any assistant involved in providing direct patient care. Collaborates with patient, family, physicians and ancillary staff. Creates a documented plan, focused on outcomes and decisions related to the care and delivery of services that indicates communications with patients, families, and others. Participates in shared governance, committee work, and unit projects. Evaluates and documents the patient’s responses to nursing interventions in the health record and properly individualizes the plan of care based on the evaluation of findings. Utilizes the best available evidence, including research findings to guide practice decisions. Qualifications Required : Bachelor of Science in Nursing (BSN) Current State of Illinois Registered Professional Nurse American Heart Association Basic Life Support (BLS) Strong interpersonal skills Ability to collaborate with others Strong analytic abilities *Associate Degree Nursing (ADN) acceptable with commitment to obtain a BSN from an accredited program within three years of first day of employment in clinical nurse role. Preferred: Experience in specific clinical area Additional Preferences for the Emergency Room and the Pediatric Emergency Room Trauma Nurse Specialist (TNS) Emergency Communications Registered Nurse Certified Pediatric Nurse Certified Emergency Nurse Equal Opportunity Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility (if sign-on bonus offered for position): Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.