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

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

Job summary

An established industry player is seeking a compassionate RN, Field Care Manager to enhance the health and well-being of pregnant and postpartum members. This role involves assessing high acuity members' needs, developing tailored care plans, and ensuring compliance with healthcare standards. The ideal candidate will have strong communication skills, a proactive approach to problem-solving, and the ability to work independently while traveling regionally. Join a team dedicated to making a meaningful impact in the community and enjoy comprehensive benefits in a supportive environment.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Paid Time Off

Disability Insurance

Life Insurance

Qualifications

• 2+ years of healthcare experience with case management focus.
• Active RN license in Virginia is required.

Responsibilities

• Conduct health risk assessments and create individualized care plans.
• Collaborate with providers to meet member needs.

Skills

Healthcare Experience

Case Management

Communication Skills

Independent Decision Making

Knowledge of Community Health

Travel Flexibility

Education

Active RN License in Virginia

Bachelor's in Nursing (BSN)

Tools

Microsoft Word

Microsoft Outlook

Microsoft Excel

Electronic Medical Records

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, especially for pregnant and postpartum members. The work involves varied 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 diverse strategies to manage physical, environmental, and psycho-social health issues.
• Identify and resolve barriers to effective care.
• Monitor member progress towards health outcomes through ongoing assessments.
• Understand organizational strategies and linkages to related areas.
• Make autonomous work decisions, sometimes 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 Winchester, Frederick, Clarke, Warren, Shenandoah, Page, Rappahannock, Culpeper, Fauquier, Prince William, Fairfax, Fairfax City, Alexandria, Arlington, Falls Church, Loudoun, Manassas, and Manassas Park.
• Active RN license in Virginia without disciplinary action.
• At least 2 years of healthcare and/or case management experience.
• Minimum 1 year of acute care experience in obstetrics, women’s care, labor and delivery, NICU, or clinical triage.
• Proficient with Microsoft Word, Outlook, and Excel.
• Knowledge of community health and social services.
• Excellent communication and interpersonal skills.
• Ability to work independently within scope.
• Experience with electronic medical records and web navigation.
• Must be able to travel regionally for face-to-face assessments.
• Must pass TB screening and hold a valid driver’s license with insurance coverage.

Preferred Qualifications

• Bachelor's 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, and wellness.
• Managed care experience.
• Certification in Case Management (CCM).
• Motivational Interviewing certification or knowledge.
• Bilingual in English and Spanish, Arabic, Vietnamese, Amharic, Urdu, or others.

Additional Information

• This is a remote role requiring travel.
• Travel expected 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.
• Language proficiency assessment required for non-English speakers.

Internet Requirements

• Minimum internet speed: 25 Mbps download, 10 Mbps upload.
• Wireless, wired, or DSL connections recommended; satellite or cellular only with approval.
• Work from a dedicated, interruption-free space to protect PHI/HIPAA data.

Interview Process

Hiring involves a HireVue interview for assessing relevant skills and experience.

Scheduled weekly hours: 40

Estimated annual salary: $71,100 - $97,800, with potential bonuses based on performance.

Benefits

Humana offers comprehensive benefits including medical, dental, vision, 401(k), paid time off, disability, life insurance, and more.

About us

Humana is committed to health and well-being, providing services that improve quality of life for diverse populations.

Equal Opportunity Employer

Humana values diversity and is committed to equal employment opportunities regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status.