RN, Field Care Manager(Maternal-Child Health) - Roanoke/Alleghany, Virginia

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

Job summary

Join a forward-thinking company dedicated to health and well-being as a Field Care Manager Nurse. In this impactful role, you will assess and evaluate the needs of high acuity members, particularly pregnant and postpartum individuals, guiding them to appropriate resources. With a focus on collaboration and compliance, you will create individualized care plans and monitor progress towards health outcomes. This remote position requires regional travel, offering a dynamic work environment where your skills can truly make a difference in the lives of others. Embrace this opportunity to contribute to a healthier community while enjoying comprehensive benefits and a supportive team.

Benefits

Health insurance

Dental insurance

Vision insurance

401(k)

Paid time off

Disability insurance

Life insurance

Wellness programs

Hiring bonus

Qualifications

• 2+ years of healthcare and case management experience required.
• Active RN license in Virginia without disciplinary action.
• Experience in obstetrics or women's care preferred.

Responsibilities

• Conduct health risk assessments and create individualized care plans.
• Collaborate with providers to meet member needs and ensure compliance.
• Monitor members' progress towards health outcomes.

Skills

Healthcare experience

Case management

Communication skills

Microsoft Word

Electronic medical records

Interpersonal skills

Travel readiness

Education

Active RN license in Virginia

Bachelor’s of Science in Nursing (BSN)

Tools

Microsoft Outlook

Microsoft Excel

Job description

Become a part of our caring community and help us put health first

Humana Healthy Horizons in Virginia is seeking a RN, Field Care Manager Nurse 2 (Maternal-Health) who will assess and evaluate high acuity member's needs and requirements to achieve and/or maintain optimal wellness by guiding members and families toward appropriate resources for the care and well-being of pregnant and postpartum members. The RN, Field Care Manager Nurse 2 (Maternal-Health) will have varied work assignments requiring interpretation and independent decision-making.

Earn a $5,000 hiring bonus! $2,000 paid after 6 months and $3,000 after 1 year of employment, contingent on employment through those dates.

• Conduct health risk assessments across the care continuum for members.
• Create individualized care plans and participate in interdisciplinary team meetings.
• Use various 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 organizational strategies and operational objectives, including their linkages.
• Make autonomous decisions regarding work methods, occasionally 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 central to northern Roanoke/Alleghany Region of Virginia, including Giles, Montgomery, Roanoke, Salem, Bedford, Craig, Botetourt, Covington, Alleghany, Rockbridge, Buena Vista, Lexington, Bath, and Highland.
• 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 in Microsoft Word, Outlook, and Excel.
• Knowledge of community health and social services.
• Excellent communication and interpersonal skills, with the ability to build rapport quickly.
• Ability to work independently within the role's scope.
• Experience with electronic medical records and web navigation skills.
• This role involves patient interaction and TB screening; successful candidates will be screened accordingly.
• Must have a valid driver’s license, personal vehicle insurance, and be willing to travel regionally.

Preferred Qualifications

• Bachelor’s of Science in Nursing (BSN).
• 3-5 years of in-home assessment and care coordination experience.
• 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 abilities in English and another language such as Spanish, Arabic, Vietnamese, Amharic, or Urdu.

Additional Information

• This is a remote position requiring travel to meet members, families, and providers, with occasional onsite meetings in Glen Allen, VA.
• Work hours are Monday to Friday, 8:00 am – 5:00 pm EST.
• Travel is estimated at 50-75% regionally.
• Applicants must complete a language proficiency assessment if speaking with members in a language other than English.

Internet Requirements

• Minimum internet speed of 25 Mbps download and 10 Mbps upload.
• Wireless, wired cable, or DSL connections preferred; satellite or cellular only with approval.
• Work from a dedicated, interruption-free space to protect member information.

Interview Process

We use HireVue technology for interviews, allowing flexible scheduling and efficient screening.

#EV

Travel may be required for training or meetings.

Scheduled Weekly Hours

40

Pay Range

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

Benefits

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

About us

Humana Inc. is dedicated to health and well-being, providing insurance and healthcare services to improve quality of life for diverse populations.

Equal Opportunity Employer

Humana does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, disability, veteran status, or other protected categories, and actively promotes employment equity.