Company name
Humana Inc.
Location
Tampa, FL, United States
Employment Type
Full-Time
Industry
Bilingual, Healthcare, Case Management
Posted on
May 10, 2021
Profile
Description
The Field Care Manager Nurse 2 assesses and evaluates members' 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 Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Responsibilities
The Field Care Manager Nurse 2 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. 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, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
Required Qualifications
Bachelor's degree
3 - 5 years of clinical acute care experience
Licensed Registered Nurse (RN) in the state of Florida with no disciplinary action
Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Certified Diabetic Educator
50-60% travel within territory (Dade, Broward and Palm Beach counties) once restrictions are lifte
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
Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Preferred Qualifications
Experience with case management, discharge planning and patient education for adult acute care
Knowledge of Milliman or Interqual
Managed Care experience, including Medicaid Managed Care
Certified Case Manager (CCM)
Bilingual in Spanish Preferred
Scheduled Weekly Hours
40
Company info
Humana Inc.
Website : http://www.humana.com