Become a part of our caring community and help us put health first
 Join Humana Healthy Horizons in Florida as a Pediatric Field Care Manager Nurse and make a meaningful impact in the lives of children and their families. In this vital role, you will oversee the care management of pediatric members who reside in skilled nursing facilities and those requiring private duty nursing, helping them achieve their highest level of wellness. As the Pediatric Field Care Manager Nurse for Region C (Pasco and Pinellas Counties), you will play a key part in assessing and supporting the medical and social needs of our members. This is an exciting opportunity to work collaboratively with multidisciplinary teams and families, ensuring each child receives personalized, comprehensive care that empowers them to thrive. If you are passionate about making a difference and dedicated to advancing pediatric health, we invite you to bring your expertise to our dynamic team.

The Pediatric Field Care Manager Nurse employs a variety of strategies, approaches, and techniques to manage the physical, environmental, and psycho-social health needs of members enrolled in Enhanced Care Coordination (ECC). ECC helps to connect children diagnosed with but not limited to Chronic medical conditions, congenital conditions, developmental disabilities, and learning disabilities to care services.

Identifies and resolves barriers that hinder effective care.Ensures member is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.Conducts face-to-face visits with members at skilled nursing facilities monthly.  Assists families to coordinate care services while respecting the their right to decide the appropriate care setting for the child.Collaborates with health care providers to develop a treatment plan that aligns the child with the appropriate care services.Improves communication among health care providers, member, parent/guardian, systems, and agencies.Helps to reduce duplication of efforts, ease transitions of care, limit gaps between service providers, and secure transportation or other support / enabling services.
Use your skills to make an impact
 

Required Qualifications

Registered Nurse (RN) in the state of Florida with no disciplinary action with a minimum of 2 years Pediatric acute care nursing experience OR Licensed Practical Nurse (LPN) in the state of Florida without disciplinary action with a minimum of 4 years Pediatric acute care nursing experience.Intermediate or better working knowledge of Microsoft Office applications including Word, Excel, and Outlook.ACHA Level II Background Check is required.

Preferred Qualifications

Understanding of AHCA regulations, NCQA and Medicaid guidelines.Managed care and/or case management experience.Certified Case Manager (CCM).Bilingual English/Creole or English/Spanish.

Additional Information:

Workstyle: Field. This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.Work Location: must reside in Florida in Pinellas or Pasco Counties, would also consider southern Hernando or northern Hillsborough Counties.Travel: will be required to see members in nursing facilities monthly at a minimum, primarily within Region C (Pasco and Pinellas Counties).Typical work days/hours: Monday – Friday, 8:30 am – 5:00 pm EST

TB screening

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.

Driving Statement

This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. 

WAH Internet

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 recommended; wireless, wired cable or DSL connection is suggested.Satellite, cellular and microwave connection can be used only if approved by leadership.Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.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.

HireVue

As 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.

Limited Geography Remote - This is a remote position but located within a specific geography.

Scheduled Weekly Hours

40

Pay Range

The 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 Benefits

Humana, 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.

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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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.