About this role
Role Overview
- perform telephonic and face-to-face assessments and evaluations of the needs and requirements of our long-term services and support (LTSS) and aged, blind and disabled (ABD) member population
- support achieving and/or maintaining optimal wellness by guiding members/families toward and facilitating interaction with resources
- work assignments that are varied and frequently require interpretation and independent determination of the appropriate courses of action
- meet members in the field at their home or location of the member's choice, spending quality time assessing their goals, needs and barriers
- connect our members with quality services to promote their ultimate well-being and drive person-centered health outcomes
- review and analyze for medical complexity
- develop member individualized care plans
- employ a variety of evidence-based strategies and techniques to manage a member's physical, environmental, and psychosocial health
- identify and resolve barriers that hinder effective care
- ensure member is progressing towards desired outcomes by continuously monitoring member care through comprehensive assessments and/or evaluations
- make autonomous decisions, occasionally in ambiguous situations
- require minimal direction and receive guidance where needed
- understand department, segment, and organizational strategy and operating goals, including their linkages to related areas
- follow established guidelines/procedures.
Requirements
- Must reside in the Tidewater Region in the Commonwealth of Virginia in the counties/independent Cities of Suffolk, Franklin, Chesapeake, Portsmouth, or Isle of Wright
- Active Registered Nurse (RN) license in the Commonwealth of Virginia without disciplinary action
- Two (2) years of prior experience in health care and/or case management
- One (1) year of experience working with individuals who meet the Cardinal Care Priority Population criteria (adult and pediatric populations at risk for chronic medical conditions & high social needs)
- Knowledge of community health and social service agencies and additional community resources
- Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel
- Ability to use a variety of electronic information applications/software programs including electronic medical records
- Excellent keyboard and web navigation skills
- Ability to work with minimal supervision
- Ability to work a full-time schedule.
- This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program.
- Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families.
Benefits
- 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