Field Care Manager Nurse - LTSS/BH
Work at Home - Virginia, United States
The Field Care Manager Nurse (LTSS/BH) 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 Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
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. 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.
Use your skills to make an impact
Required Qualifications
- Bachelor’s degree in social work, psychology or other health or human services related field
- Virginia licensed RN
- Minimum of 2 years of post-degree clinical experience in behavioral health setting
- Case management experience working with complex SMI or SED population
- Must reside in Virginia; This role will be regionally based in one of the Commonwealth’s six regions: Tidewater, Central, Northern/Winchester, Western/Charlottesville, Roanoke/Alleghany, Southwest
- Ability to travel to region-based facilities and homes for face-to-face assessments.
- Exceptional oral and written 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
- Valid driver's license, car insurance, and reliable transportation.
Preferred Qualifications
- Case Management Certification (CCM)
- 3-5 years of in-home assessment and care coordination experience
- Experience working with Medicare, Medicaid and dual-eligible populations
- Experience working with high risk pregnant and post-partum population with BH needs
- Field Case Management Experience
- Knowledge of community health and social service agencies and additional community resources
Additional Information
- Workstyle: This is a remote position that will require you to travel.
- Travel: Up to 25% of the time to Humana Healthy Horizons office in Glen Allen, VA for collaboration and face to face meetings as well as field interactions with …
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Dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Must reside in Virginia Remote position Requires travel Virginia Work from a dedicated space Work from a dedicated space lacking ongoing interruptions Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Workstyle
Benefits/Perks401k retirement 401k Retirement Savings Bonus Incentive Bonus incentive plan Caring community Collaboration Competitive benefits Dental Disability Flexible hours Health first Holidays Life Life Insurance Medical Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Personal holidays Remote position Remote work Smart healthcare decisions Support whole-person well-being Time off Travel opportunities Vision Vision Benefits Volunteer time Volunteer time off Whole-person well-being
Tasks- Assess member needs
- Collaboration
- Communication
- Create care plans
- Create member care plans
- Facilitate interaction with resources
- Interpretation
- Monitor patient care
- Training
Advanced Computer Assessment Assessments Behavioral health Business Care Coordination Case Management Clinical Clinical Experience Collaboration Communication Community Health Community Resources Compensation Computer Dental Education Electronic Information Applications Electronic Medical Records Excel Face-to-face assessments Healthcare Healthcare services HIPAA Human services Insurance Interpersonal IT Leadership Life Insurance Management Medicaid Medicare Microsoft Microsoft Excel Microsoft Outlook Microsoft Word Monitoring Nursing Organizational Outlook Patient care Policy Psychology Rating Recruitment Risk RN Social service agencies Social services Social Work Strategy Supervision Support Technology Training Transportation Travel Vision Wellness Word Written communication
Experience2 years
EducationAssociate Bachelor Bachelor's degree Behavioral health Business Communication Education English Healthcare Higher Human Services IT Management Psychology Related Field RN Social Work
CertificationsCase management certification CCM Driver's License RN
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9