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

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

Job summary

An established industry player is seeking a dedicated RN, Field Care Manager to support pregnant and postpartum members in Virginia. This remote role, requiring travel, involves conducting health assessments, creating care plans, and collaborating with various healthcare providers. The ideal candidate will have a strong background in healthcare and case management, with excellent communication skills and the ability to work independently. Join a team that prioritizes health and well-being, making a significant impact in the lives of members while enjoying a supportive work environment.

Qualifications

• 2+ years of healthcare and/or case management experience required.
• Proficiency with Microsoft Office tools is essential.

Responsibilities

• Conduct health risk assessments and create individualized care plans.
• Collaborate with providers to ensure compliance with standards.

Skills

Healthcare experience

Case management

Communication skills

Electronic medical records

Independence

Education

Active RN license in Virginia

Bachelor's of Science in Nursing (BSN)

Tools

Microsoft Word

Microsoft Outlook

Microsoft Excel

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 toward and facilitating interaction with appropriate resources for the care and well-being of 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 care team meetings.
• Employ strategies to manage physical, environmental, and psycho-social health issues.
• Identify and resolve barriers to effective care.
• Monitor members' progress towards health outcomes through ongoing assessments.
• Understand departmental, segment, and organizational strategies and objectives.
• Make autonomous work decisions, sometimes in ambiguous situations, with minimal guidance.
• Collaborate with internal and external providers to meet members’ needs.
• Ensure compliance with contractual and regulatory standards.
• Follow established guidelines and procedures.

Use Your Skills to Make an Impact

Required Qualifications

• Residency 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.
• Proficiency with Microsoft Word, Outlook, and Excel.
• Knowledge of community health and social service agencies.
• Excellent communication and interpersonal skills.
• Ability to work independently within scope and use electronic medical records.
• Must pass TB screening and have a valid driver’s license with insurance for travel.

Preferred Qualifications

• Bachelor's of Science in Nursing (BSN).
• 3-5 years in-home assessment and care coordination.
• Lactation certification or experience.
• Experience with health promotion, coaching, and wellness programs.
• Managed care experience.
• Certification in Case Management (CCM).
• Motivational Interviewing certification or knowledge.
• Bilingual in English and Spanish, Arabic, Vietnamese, Amharic, Urdu, or other languages.

Additional Information

• This is a remote role requiring travel (50-75%) to meet members and providers, with occasional onsite meetings in Glen Allen, VA.
• Work hours are Monday-Friday, 8:00 am - 5:00 pm EST.
• Applicants must meet internet and work environment requirements, including a dedicated workspace and reliable internet connection.
• The hiring process includes a HireVue interview.
• Salary range: $71,100 - $97,800 annually, with potential bonuses based on performance.

About Us

Humana is committed to putting health first, providing comprehensive services to improve quality of life for diverse populations.

Equal Opportunity Employer

Humana values diversity and inclusion, ensuring fair employment practices regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status.