RN, Field Care Manager(Maternal-Child Health) - Northern/Winchester, Virginia

Humana; Arlington (VA); Remote; USD 71,000 - 98,000; Full time

Job summary

Join a forward-thinking organization dedicated to improving health outcomes for pregnant and postpartum members. As a Field Care Manager, you will play a crucial role in assessing high-acuity needs and guiding members to essential resources. With a focus on autonomy and collaboration, you'll work independently while engaging with a diverse team to ensure compliance and quality care. This remote position offers a competitive salary and benefits, allowing you to make a meaningful impact in the community. If you are passionate about maternal-child health and eager to support families, this opportunity is perfect for you.

Benefits

Medical, dental, and vision insurance

401(k) plan

Paid time off

Disability and life insurance

Performance bonuses

Qualifications

• Must reside in the Northern/Winchester Region of Virginia.
• 2+ years of healthcare or case management experience required.
• Proficient in Microsoft Office applications.

Responsibilities

• Conduct health risk assessments and create individualized care plans.
• Monitor members' progress and collaborate with providers.
• Ensure compliance with regulatory standards.

Skills

Healthcare or case management experience

Acute care experience in obstetrics

Excellent communication skills

Proficient in Microsoft Word, Outlook, Excel

Knowledge of community health and social services

Ability to work independently

Experience with electronic medical records

Bilingual abilities

Education

Active RN license in Virginia

Bachelor's degree in Nursing (BSN)

Tools

Electronic medical records

HireVue

Job description

RN, Field Care Manager (Maternal-Child Health) - Northern/Winchester, Virginia

Join our caring community and help prioritize health

Humana Healthy Horizons in Virginia is seeking a RN, Field Care Manager Nurse 2 (Maternal-Health) to assess and evaluate high-acuity members' needs, guiding them towards and facilitating interaction with appropriate resources for their care and well-being, particularly for pregnant and postpartum members. This role involves varied work assignments requiring interpretation and independent decision-making.

• Conduct health risk assessments across the care continuum.
• Create individualized care plans and participate in interdisciplinary team meetings.
• Employ strategies to manage physical, environmental, and psycho-social health issues.
• Identify and resolve barriers to effective care.
• Monitor members' progress towards desired outcomes through assessments and evaluations.
• Understand departmental and organizational strategies and objectives.
• Make autonomous decisions regarding work methods, often in ambiguous situations, with minimal guidance.
• Collaborate with internal and external providers to meet member needs.
• Ensure compliance with contractual and regulatory standards.
• Follow established guidelines and procedures.

Use your skills to make an impact

Required Qualifications

• Reside in the Northern/Winchester Region of Virginia, including counties and independent cities such as Winchester, Frederick, Clarke, Warren, Shenandoah, Page, Rappahannock, Culpeper, Fauquier, Prince William, Fairfax, Alexandria, Arlington, Falls Church, Loudoun, Manassas, and Manassas Park.
• Active RN license in Virginia without disciplinary actions.
• At least 2 years of healthcare or case management experience.
• Minimum 1 year of acute care experience in obstetrics, women’s care, labor and delivery, NICU, or clinical triage.
• Proficient in Microsoft Word, Outlook, and Excel.
• Knowledge of community health and social services.
• Excellent communication and interpersonal skills.
• Ability to work independently within scope of practice.
• Experience with electronic medical records and web navigation.
• Must pass TB screening and have a valid driver’s license with insurance for travel to member homes and facilities.

Preferred Qualifications

• Bachelor's degree in Nursing (BSN).
• 3-5 years of in-home assessment and care coordination.
• Lactation certification, preferably as a lactation consultant.
• Experience in health promotion, coaching, wellness, and managed care.
• Case Management Certification (CCM).
• Motivational Interviewing certification or knowledge.
• Bilingual abilities, especially in Spanish, Arabic, Vietnamese, Amharic, Urdu, or others.

Additional Information

• This is a remote role with regional travel (50-75%) to meet members and providers, with occasional onsite meetings in Glen Allen, VA.
• Work hours: Monday–Friday, 8:00 am–5:00 pm EST.
• Must meet internet speed requirements and work in a dedicated, interruption-free space.
• Use HireVue for interviews as part of the hiring process.

Compensation and Benefits

Annual salary: $71,100 - $97,800, plus potential bonuses based on performance. Benefits include medical, dental, vision, 401(k), paid time off, disability, life insurance, and more.

About us

Humana is committed to health and well-being, serving diverse populations with innovative healthcare solutions to improve quality of life.

Equal Opportunity Employer

Humana values diversity and is committed to equal employment opportunity for all applicants and employees.