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

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

Job summary

Join a forward-thinking company dedicated to promoting health and wellness as a RN, Field Care Manager. In this impactful role, you'll assess high-acuity members' needs, guide them to essential resources, and facilitate interactions to enhance their well-being, particularly for pregnant and postpartum individuals. Collaborate with a diverse team to create individualized care plans, monitor progress, and ensure compliance with standards. This position offers the opportunity to make a real difference in the lives of others while enjoying a dynamic and supportive work environment.

Benefits

Medical insurance

Dental insurance

Vision insurance

401(k)

Paid time off

Disability insurance

Life insurance

Qualifications

• 2+ years of healthcare and/or case management experience required.
• Active RN license in Virginia without disciplinary actions.

Responsibilities

• Conduct health risk assessments across the care continuum.
• Create individualized care plans and participate in team meetings.

Skills

Healthcare and case management experience

Acute care experience in obstetrics

Microsoft Word

Microsoft Outlook

Microsoft Excel

Communication and interpersonal skills

Ability to work independently

Travel for face-to-face assessments

Education

Active RN license in Virginia

Bachelor's of Science in Nursing (BSN)

Tools

Electronic medical records software

Job description

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

Pay $71,100.00 - $97,800.00 / year

Employment type Full-Time

Job Description

• Req#: R-374405

Join Our Caring Community to Promote Health

Humana Healthy Horizons in Virginia is seeking a RN, Field Care Manager Nurse 2 (Maternal-Health). The role involves assessing high-acuity members' needs, guiding them and their families to appropriate resources, and facilitating interactions to support their well-being, especially for pregnant and postpartum members. The work requires interpretation and independent judgment to determine appropriate actions.

• Conduct health risk assessments across the care continuum.
• Create individualized care plans and participate in interdisciplinary team meetings.
• Employ diverse strategies to manage members' physical, environmental, and psycho-social health issues.
• Identify and resolve barriers to effective care.
• Monitor members' progress toward health outcomes through ongoing assessments.
• Understand organizational strategies and how they relate to your role.
• Make autonomous decisions regarding work methods, occasionally in ambiguous situations, with minimal supervision.
• 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

• Must 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 actions.
• At least 2 years of healthcare and/or case management experience.
• Minimum 1 year of acute care experience in obstetrics, women’s health, labor and delivery, NICU, or clinical triage.
• Intermediate to advanced skills in Microsoft Word, Outlook, and Excel.
• Knowledge of community health and social service resources.
• Excellent communication and interpersonal skills, with the ability to build rapport quickly.
• Ability to work independently within your scope.
• Experience with electronic medical records and other software applications.
• Ability to travel regionally for face-to-face assessments.
• Must meet TB screening requirements and have a valid driver’s license with appropriate insurance.

Preferred Qualifications

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

Additional Information

• This is a remote position requiring travel.
• Travel is approximately 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.
• Language proficiency assessments are 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.

Interview Process

Use of HireVue technology for interviews.

#EV

Travel to Humana offices may be required for training or meetings.

Weekly Hours

40 hours per week

Pay Range

$71,100 - $97,800 annually, based on location and experience. Eligible for performance bonuses.

Benefits

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

About Humana

Humana is dedicated to health and wellness, providing services that improve quality of life for diverse populations.

Equal Opportunity Employer

Humana values diversity and inclusion, and is committed to equal employment opportunities for all applicants and employees.