Humana RN Primary Care Case/Care Manager- PIPC Las Vegas in Las Vegas, Nevada
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 Partners in 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 Partners in 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.
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.
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
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
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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.
Scheduled Weekly Hours
Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
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