Humana at Home/Senior Bridge is seeking passionate, case management professionals and leaders dedicated to delivering the highest quality in-home care management programs to complex chronically ill patients enrolled in large health plans and managed care programs.
As a Care Manager you will provide direct care to clients and their families according to the established plan of care. As a Care Manager you will provide a multidisciplinary approach to care.
The Care Manager position includes the following:
Conducting assessments to identify problems, eligibility for assistance and need for services
Ensuring in-home care delivery is in accordance with each client's contractual program requirements and is high quality and complies with company -adopted evidence- based clinical practice guidelines
Developing a professional care plan from the assessment findings and in collaboration with the clients Physician to ensure the facilitation of the provision of the best possible care
Thorough and timely documentation of initial and ongoing assessments and outcomes
Communicate explanation of the care plan and all subsequent cost of all services to client and or families, Attorney or Guardians
Act as a liaison to families as well as with collateral clinicians, professionals and agencies.
Effectively communicate with clients, families, Physicians, Attorneys, etc. and all members of the multidisciplinary team all findings, outcomes, plans that relate to the provision of client care
Work effectively with all departments to ensure the best delivery of service
Participate in case conferences with other disciplines providing care
Participate in the on call activities as directed by supervisor
Observes infection control practices and uses standard precautions
Participates in quality management/performance improvement activities
Performs any other duties as requested by the company
Required participation in on-call rotation as needed
Accountability: Meets established expectations and takes responsibility for achieving results; encourages others to do the same. Employs focus, attention to detail, reliability, and appropriate prioritization to drive outcomes. Sees opportunities to contribute and takes the initiative to create solutions.
Builds Trust: Consistently models and inspires high levels of integrity in decisions, speech, and actions. Lives up to commitments, taking responsibility for the impact of one’s actions. Exercises the courage to prioritize principles and values over personal or professional gain.
Customer Focus: Connects meaningfully with customers to build emotional engagement and customer advocacy. Develops and applies deep customer knowledge and intimacy to develop and deliver products, services, and interactions that provide value beyond expectations. Simplifies complexity and integrates internal efforts to deliver and optimal customer experience.
Executes for Results: Effectively leverages resources to create exceptional outcomes. Determines the best course of action when facing ambiguity. Anticipates and constructively resolves barriers and constraints. Embraces change, applies new knowledge and reconfigures quickly to capitalize on opportunities
Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action
1 year of work experience in field based eldercare/homecare/care management
Good communication skills and knowledge of community resources
Proficient with Microsoft applications: Outlook, Word, Excel, and PowerPoint
This role is considered patient facing and is part of Humana/Senior Bridge’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Valid driver’s license, car insurance, and access to an automobile
This role is a part of Humana’s Driver Safety program and therefore requires and individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits
Bachelor’s or Master's Degree in Nursing
Care Management Certification
Enthusiastic, positive thinker with effective organization and communication skills
Ability to work in a multi-disciplinary team
Experience/contacts with community based organizations
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice to enhance our hiring and decision-making ability. Montage Voice allows us to quickly connect and gain valuable information from 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 a 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 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Internal Number: 187284
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