RN Field Care Manager

This job posting is for a temporary contractor role as an employee of Atrium assigned to work at Humana.

Job Description:
Must reside in Michigan with the ability to drive to Wayne or Macomb Counties.
This position will be based from a home office and will travel 75% of the time, to an assigned area in Wayne or Macomb county, to conduct in home visits with Medicare/Medicaid members.
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.

Location:
• Bruce Township, MI
• Canton, MI
• Flat Rock, MI
• Gross Pointe Woods, MI
• Independence Township, MI
• Macomb Township, MI
• Richmond Township, MI

Position Responsibilities:

• The RN Field Care Manager will be responsible for managing a case load and completing assessments with members in their home or community-based setting, as well as telephonically.

• Provides clinical support and guidance, particularly for members with medical complexity. Help develop and coordinate care plans ensuring that patients receive appropriate services to manage their health needs effectively

• Addressing barriers to health care and advocating for optimal member outcomes.

• Will review, assess, and complete medical complexity attestations and clinical oversights.

• Ensures members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.

• Develops and modify Individual Care Plan and involve applicable members of the care team in care planning (Informal caregiver, coach, PCP, etc.).

• Focuses on supporting members and/or caregivers utilizing an interdisciplinary approach in accessing social, housing educational and other services, regardless of funding sources to meet their needs.

• Primary point of contact for the Interdisciplinary Care Team (ICT) and shall be responsible for coordinating with the member,

• ICT participants, and outside resources to ensure the member’s needs are met.

Required Qualifications:

• Registered Nurse, Nurse Practitioner, or Clinical Nurse Specialist with a minimum of 2 years’ experience in health care and/or case management.

• Active Michigan Registered Nurse (RN) license with no disciplinary action

• Must reside in the state of Michigan.

• Ability to travel to homes and community settings for face-to-face assessments

• Experience working with the adult population, disease management.

• 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

• Excellent keyboard and web navigation skills.

• Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel

• Ability to work full-time (40 hours minimum) Mon-Fri.

• 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.

• Valid driver's license, car insurance, and access to an automobile.

• Must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work

• Must have accessibility to high-speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this
  role); and recommended speed for optimal performance from Humana At Home systems if 25Mx10M.

• This role is considered patient facing and is part of Humana At Home's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

• 75% travel is required in this position.

Preferred Qualifications:

• BSN

• Experience with in home assessment and care coordination experience.

• Experience with health promotion, coaching and wellness.

• Experience with Medicaid Long Term Care.

• Previous managed care experience.

• Bilingual- Spanish, Arabic or Chaldean Neo-Aramaic.