Hybrid Divisional RN Care/Case Manager

Become a part of our caring community and help us put health first
 

The Divisional RN 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 Divisional RN work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Divisional RN 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

• Registered Nurse (RN license)

• Minimum of 4 years of experience working in health care services and navigating community-based resources

• Registered Nurse with 2 years of experience of case/care management

• Must live reside in Las Vegas metro area

Preferred Qualifications

• BSN

• 3-5 years of assessment and care coordination experience

• Experience working with the adult population

• Previous managed care experience

• Bilingual — English, Spanish

• Certification in Case Management

• Motivational Interviewing Certification and/or knowledge

• 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

• 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

• 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 be passionate about contributing to an organization focused on continuously improving consumer experiences

• Experience with health promotion, coaching and wellness

Additional Information

Working Conditions 

This role has a mobile presence and may require regular onsite engagement with the care team to assigned clinics to see patients in person and collaborate with care team members.

Workstyle: Hybrid - Combination in-clinic and working remotely/virtually.

Location: Must reside in Las Vegas Metro

Hours: Must be able to work a 40-hour work week, Monday through Friday 8:00 AM to 5:00 PM, incremental time may be requested to meet business needs.

Tuberculosis (TB) screening: This role is considered member facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Driver's License, Reliable Transportation, Insurance This role is part of Humana's Driver safety program and therefore requires an individual to have:

• a valid state driver's license,
• carry insurance in accordance with the state minimum required limits, or $25,000/$25,000/10,000 whichever is higher and a reliable vehicle.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$71,100 - $97,800 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us
 

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.