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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

Required Qualifications

  • 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

Preferred Qualifications

  • BSN

  • 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

Additional Information

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


About Us

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

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailboxtasrecruit@humana.com for assistance.

Humana Safety and Security

Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailboxtasrecruit@humana.com to validate the request.