Field Care Manager NP - Raleigh-Cary NC

Profile

Description

The Field Care Manager NP assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager NP works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Field Care Manager NP employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. May create member care plans. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Required Qualifications

Bachelor's Degree in Nursing

MSN

8 or more years of technical experience

2 or more years of project leadership experience

Successful completion of a Nurse Practitioner program

Active, unrestricted Registered Nurse and Nurse Practitioner license in the state

Current certification or able to be certified in AHA or ARC Basic Life Support for medical provider

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.

This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

Significant previous experience managing cardiology patients in an ambulatory care environment and in an interventional cardiologist cath lab

Appropriate certification to write prescriptions under the authority of a medical director

Computer proficiency with knowledge of MS Office products, specifically Word, Excel, and Outlook

Experience with electronic health record documentation

Eligible or must achieve participation in Medicare/Medicaid programs within 3 months

Eligible for hospital staff privileges at target hospitals

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Certification in Adult Health, Family, Acute Care or Gerontology preferred

2 or more years post-training clinical experience

Experience in disease management and wellness programs

Previous Medicare/Medicaid Experience a plus

Knowledge or experience with a patient centered medical home model

Experience with eClinicalWorks

Bilingual: English, Spanish and other languages

Additional Information

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com