Field Care Manager Nurse - ARTS

Company: Humana
Location: Salem
Posted on: March 25, 2025

Job Description:

Become a part of our caring community and help us put health first The Field Care Manager Nurse, ARTS 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 Field Care Manager, Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.POSITION RESPONSIBILITIES:

• Utilizes high-quality, evidence-based substance use services through personalized care coordination, crisis intervention, peer support, and strong collaboration with medical, behavioral health, and ARTS providers.
• Provides comprehensive, integrated support to members experiencing substance use and possible co-occurring conditions, including children, adolescents, adults, and justice-involved members.
• Engages members in their own communities, meeting them face-to-face whenever possible to build trust and facilitate meaningful care coordination.
• Completes all required assessments, including the Comprehensive Risk Assessment (CHRA).
• Coordinates behavioral health, substance use, and medical services, ensuring appropriate provider engagement and adherence to treatment plans.
• Improves member's health literacy while simultaneously addressing health related social needs to positively impact member's healthcare outcomes and well-being.
• Serves as the quarterback of the member's interdisciplinary care team (ICT), overseeing care planning, transitions, and service delivery.
• Facilitates ICT meetings, ensuring seamless communication among providers, Service Coordinators, and Care Management Extenders.
• Engages in biannual and quarterly face-to-face visits, ensuring continuous monitoring and proactive intervention.
• Must be able to work with autonomy but reach out when support is needed.
• Collaborates with internal departments, providers, and community-based organizations to link to appropriate services and create a seamless, culturally competent care experience that respects the members' preferences and needs.
• Will follow processes, and procedures to ensure compliance with regulatory requirements by the Virginia Department of Medical Assistance Services (DMAS), Center for Medicare and Medic Use your skills to make an impact REQUIRED QUALIFICATIONS
  • Virginia licensed RN
  • Minimum of 1 year of experience working directly with individuals with substance use disorder (SUD).
  • Case management experience providing care transitions for ASAM levels of care and overall structured care management for members receiving VA Addiction and recovery services.
  • Must reside in Virginia; This role will be regionally based in one of the Commonwealth's six regions: Tidewater, Central, Northern/Winchester, Western/Charlottesville, Roanoke/Alleghany, Southwest.
  • Ability to travel to region-based facilities and homes for face-to-face assessments.
  • Exceptional oral and written communication and interpersonal skills with the ability to quickly build rapport.
  • Ability to work with minimal supervision within the role and scope.
  • Ability to use a variety of electronic information applications/software programs including electronic medical records.
  • Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
  • Valid driver's license, car insurance, and reliable transportation. PREFERRED QUALIFICATIONS:
    • Case Management Certification (CCM).
    • Experience working with Medicare, Medicaid and dual-eligible populations.
    • Field Case Management Experience.
    • Experience working with pregnant and post-partum population with SUD, including Substance Exposed Infants.
    • Knowledge of community health and social service agencies and additional community resources.
    • Knowledge of ASAM levels of care.
    • Managed Care Experience.
    • Bilingual preferred (Spanish, Arabic, Vietnamese or other). Additional Information
      • Workstyle: This is a remote position that will require you to travel.
      • Travel: Up to 25% of the time to Humana Healthy Horizons office in Glen Allen, VA for collaboration and face to face meetings as well as field interactions with staff, providers, members, and their families.
      • Workdays and Hours: Monday - Friday; 8:00am - 5:00pm Eastern Standard Time (EST).
      • Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.WAH Internet Statement
        • To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
        • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
        • Satellite, cellular and microwave connection can be used only if approved by leadership.
        • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
        • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Interview FormatAs part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue 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.Scheduled Weekly Hours40Pay RangeThe 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 BenefitsHumana, 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 Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.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 veteran status . It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.

Keywords: Humana, Roanoke , Field Care Manager Nurse - ARTS, Executive , Salem, Virginia