RN Primary Care Case/Care Manager- CenterWell Senior Primary Care - Las Vegas NV

Profile

Description

Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At CenterWell Primary Care, a division of Humana, we want to help people everywhere, including our associates, lead their best lives. We support our associates to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. At CenterWell Primary Care, we're seeking innovative people who want to make positive changes in their lives, the lives of our members, and the healthcare industry as a whole.

The RN Primary Care/Case Manager/Care Coach 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 Care Coach 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The RN Primary Care Case /Care Manager Care Coach 2 employs a variety of strategies, approaches and techniques to manage a member's health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning. 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.

Required Qualifications

Active RN license in the state of employment (without restrictions), and ability to obtain other state RN License/s as needed

2 or more years of relevant experience within chronic complex patient population and care coordination

Experience working with the geriatric population

Intermediate to advanced proficiency with Microsoft Word, Excel and Outlook

Detail oriented and adaptable in a fast paced environment

Strong verbal and written communication skills

Must have valid Driver's license

Strong emotional intelligence , self-motivator and communication skills to work with all levels of the community

Strong team player with the ability to evolve patient awareness

This role is considered patient 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

Preferred Qualifications

Bi-lingual English and Spanish without limitations to read, write and speak in both languages

Bachelor's degree in Nursing (BSN)

Case Management Certification (CCM)

Prior experience with Medicare & Medicaid recipients

Previous experience with electronic case note documentation and experienced with documenting in multiple computer applications/systems

Experience with health promotion, coaching and wellness

Knowledge of community health and social service agencies and additional community resources

Experience with Cardiac and pulmonary patients

Experience with Home Health and/or Hospice

Knowledge/Experience with HEDIS

Experience within acute inpatient care

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire Voice to enhance our hiring and decision-making ability. Modern Hire Voice allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Montage Voice interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

CenterWell Senior Primary Care is more than an equal opportunity employer, CenterWell's dedication to promoting diversity, multiculturalism, and inclusion is at the heart of what we do in all of our CenterWell roles. Diversity is more than a commitment to us, it is the foundation of what we do. We are fully focused on diversity of race, gender, sexual orientation, religion, ethnicity, national origin and all of the other fascinating characteristics that make us each uniquely wonderful.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com