Tampa, FL, 33603, USA
22 hours ago
RN Care/Case Manager
**Become a part of our caring community and help us put health first** The RN Care Navigator 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 RN Care Navigator work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The RN Care Navigator 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 + **_Bilingual in English and Spanish with the ability to speak, read and write in both languages without limitations or assistance_** **_​_** **Preferred Qualifications** + Experience working in care/case management + Prior value-based care experience and working with complex Senior populations + Experience working effectively within interdisciplinary teams **Skills/Abilities/Competencies Required** + Advanced clinical acumen + Ability to multi-task in a fast-paced work environment + Flexibility to fluidly transition and adjust in an evolving role + Excellent organizational skills + Advanced oral and written communication skills + Strong interpersonal and relationship building skills + Compassion and desire to advocate for patient needs + Critical thinking and problem-solving capabilities **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 + Certification in Case Management + Motivational Interviewing Certification and/or knowledge + Experience working with the adult population + 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 do office visit to meet patient, meetings and for complex rounds + 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 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 + Associates working in the State of Florida will need ACHA Level II Background clearance + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **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 Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' 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. ​ **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. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources
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