Humana

About Humana

 

Job Category:

Integrated Care & Care Operations - Care Management

Country:

United States

Approximate Salary:

Not Specified

Position Type:

Full Time

Field Care Manager NP-Houston, TX

Humana - Wkly Houston, Texas

Posted: 09/1/2018

Description

The Field Care Manager NP 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 NP works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Field Care Manager NP 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. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.

               

Required Qualifications

  • Bachelor's Degree in Nursing
  • MSN 
  • 8+ years of technical experience, or equivalent and 2+ years of project leadership experience
  • Successful completion of a Nurse Practitioner program
  • Active, unrestricted Registered Nurse and Nurse Practitioner license in the state 
  • Current certification or able to be certified in AHA or ARC Basic Life Support for medical provider
  • Significant previous experience managing cardiology patients in an ambulatory care environment and in an interventional cardiologist cath lab
  • Appropriate certification to write prescriptions under the authority of a medical director
  • Computer proficiency with knowledge of MS Office products, specifically Word, Excel, and Outlook
  • Experience with electronic health record documentation
  • Eligible or must achieve participation in Medicare/Medicaid programs within 3 months
  • Eligible for hospital staff privileges at target hospitals

Preferred Qualifications

  • Certification in Adult Health, Family, Acute Care or Gerontology preferred
  • 2+ years post-training clinical experience
  • Experience in disease management and wellness programs
  • Previous Medicare/Medicaid Experience a plus
  • Knowledge or experience with a patient centered medical home model
  • Experience with eClinicalWorks
  • Bilingual: English, Spanish and other languages

Additional Information

Scheduled Weekly Hours

40

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