RN Field Supervisor- Medicaid - Humana (Long Key, FL)
Description Assignment Capsule - Report trends - Develop system-view recommendations - Implement appropriate actions to control trend - Ensure compliance with regulatory requirements - Recommend services for Humana Plan members utilizing care alternatives available within the community and nationally - Recommend alternatives if appropriate using your knowledge of clinical protocols - Monitor case management activities, post-discharge calls, discharge planning and pre-assessment of elective admissions Key Competencies - Interpersonal Effectiveness:
Understands oneself, effectively manages emotions, listens and communicates with respect, and builds trusting relationships.
- Leads Positively:
Leads by example to cultivate a climate of motivation, positive energy and meaning in work.
Assesses, selects, recognizes, develops, and empowers diverse talent.
- Accountability:
Meets established expectations and takes responsibility for achieving results; encourages others to do the same.
Qualifications Role Essentials - Master's Degree with at least 2 years of case management experience with at least 1 year focused on elderly or disabled populations - Bachelor's Degree in a health related field with at least 5 years of case management experience with at least 1 year focused on the elderly or disabled populations - 9 years of RN experience with a minimum of 5 years of case management experience with at least 1 year focused on the elderly or disabled population - Active RN license in the state of FL - Must have accessibility to high speed DSL or Cable modem for a home office (No Satellite) - Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook Role Desirables - Prior supervisory experience - Health Plan experience - Prior nursing home diversion or long term care case management experience - Call center or triage experience - May substitute equivalent education and/or experience for degree - Previous experience in utilization management, discharge planning and/or home health or rehab - Bilingual is a plus Reporting Relationships - You will have 10-15 direct reports, and you will report to a clinical manager.
This area is under the leadership of the SVP & Chief Operating Officer.
- Additional Information After applying, we encourage you to join our Talent Network as well, so you can stay informed and up to date on what's happening around our organization in the changing world of healthcare.
humana.
com/about/careers Source:
.
Estimated Salary: $20 to $28 per hour based on qualifications.
Understands oneself, effectively manages emotions, listens and communicates with respect, and builds trusting relationships.
- Leads Positively:
Leads by example to cultivate a climate of motivation, positive energy and meaning in work.
Assesses, selects, recognizes, develops, and empowers diverse talent.
- Accountability:
Meets established expectations and takes responsibility for achieving results; encourages others to do the same.
Qualifications Role Essentials - Master's Degree with at least 2 years of case management experience with at least 1 year focused on elderly or disabled populations - Bachelor's Degree in a health related field with at least 5 years of case management experience with at least 1 year focused on the elderly or disabled populations - 9 years of RN experience with a minimum of 5 years of case management experience with at least 1 year focused on the elderly or disabled population - Active RN license in the state of FL - Must have accessibility to high speed DSL or Cable modem for a home office (No Satellite) - Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook Role Desirables - Prior supervisory experience - Health Plan experience - Prior nursing home diversion or long term care case management experience - Call center or triage experience - May substitute equivalent education and/or experience for degree - Previous experience in utilization management, discharge planning and/or home health or rehab - Bilingual is a plus Reporting Relationships - You will have 10-15 direct reports, and you will report to a clinical manager.
This area is under the leadership of the SVP & Chief Operating Officer.
- Additional Information After applying, we encourage you to join our Talent Network as well, so you can stay informed and up to date on what's happening around our organization in the changing world of healthcare.
humana.
com/about/careers Source:
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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