Humana PRN RN - Home Care - Miami/Dade County, FL in Miami Beach, Florida
The Field Care Manager Nurse 2 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 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.
In this role you will:
· Visit members in their homes
· Perform initial assessment in order to determine eligibility for Home Health Aide services
· If eligibility is confirmed, you will develop a care plan that reflects the member’s need and will guide the care provided by the Home Health Aide
· Be responsible for supervising the Home Health Aide
· Document electronically and need to be comfortable using computers including an iPad
· Care for Medicare Advantage members who have the Patient Care Services benefit
· Rotate with other RNs to cover evening and weekend on call
Registered Nurse with 1 year of experience of in home case/care management
Experience working with the adult population
Knowledge of community health and social service agencies and additional community resources
Ability to travel to member's residence within 30 to 40 miles
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
Excellent keyboard and web navigation skills
Ability to work a full-time (40 hours minimum) flexible work schedule
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
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 5Mx1M
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.
Valid driver's license, car insurance, and access to an automobile
Associates working in the State of Florida will need ACHA Level II Background clearance
3-5 years of in home assessment and care coordination experience
Experience with health promotion, coaching and wellness
Previous managed care experience
Bilingual — English, Spanish
Certification in Case Management
Motivational Interviewing Certification and/or knowledge
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage SMS Text/Voice Messaging to enhance our hiring and decision-making ability. Montage SMS Text/Voice Messaging 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
Scheduled Weekly Hours
Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
Equal Opportunity Employer
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