RN Care Navigator - Hybrid - Conviva
Posted 2025-03-14Position: RN Care Navigator - Hybrid - Conviva Portland
Become a part of our caring community and help us put health first
The RN Care Navigator 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 RN Care Navigator work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The RN Care Navigator employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. May create member care plans. 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.
Use your skills to make an impact
Required Qualifications
? Registered Nurse with 2 years of experience in case/care management
? Experience working with the adult population
? Knowledge of community health and social service agencies and additional community resources
? Ability to travel to member's residence within 30 to 40 miles
? Exceptional 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
? Excellent keyboard and web navigation skills
? Ability to work a full-time (40 hours minimum) flexible work schedule
? 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.
? Must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work
? Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana At Home systems if 5
Mx1M
? This role is considered patient facing and is part of Humana At Home'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
? Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
? Bilingual - English, Spanish
? BSN
? 3-5 years of in home assessment and care coordination experience
? Experience with health promotion, coaching and wellness
? Previous managed care experience
? Certification in Case Management
? Motivational Interviewing Certification and/or knowledge
Additional Information
Work environment: 2-3 days in clinic and/or driving to patient homes
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.
$69,800 - $96,200 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?
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