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

Humana; Roanoke (VA); Hybrid; USD 71,000 - 98,000; Full time

Job summary

Join a forward-thinking healthcare organization dedicated to improving the health and well-being of communities. As a Field Care Manager Nurse, you will play a crucial role in assessing high acuity members, especially pregnant and postpartum individuals. This remote position requires regional travel to provide personalized care and support. You will collaborate with a diverse team to create individualized care plans, ensuring members receive the resources they need. With a focus on health promotion and wellness, this role offers the chance to make a significant impact in the lives of those you serve while enjoying comprehensive benefits and a supportive work environment.

Benefits

Comprehensive Health Insurance

Retirement Plans

Paid Time Off

Disability Insurance

Life Insurance

Performance-Based Bonuses

Qualifications

• Active RN license in Virginia required.
• 2+ years of healthcare or case management experience needed.

Responsibilities

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

Skills

Healthcare Experience

Case Management

Communication Skills

Microsoft Office Suite

Electronic Medical Records

Community Health Knowledge

Bilingual Communication

Education

Active RN License in Virginia

Bachelor's Degree in Nursing (BSN)

Tools

Electronic Medical Records

Microsoft Office Suite

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 members' needs to promote wellness by guiding members and families toward appropriate resources, especially for pregnant and postpartum members. The role involves varied assignments requiring interpretation and independent decision-making.

1. Conduct health risk assessments across the care continuum.
2. Create individualized care plans and participate in interdisciplinary team meetings.
3. Use various strategies to manage physical, environmental, and psycho-social health issues.
4. Identify and resolve barriers to effective care.
5. Monitor members' progress through assessments and evaluations.
6. Understand organizational strategies and objectives, linking them to related areas.
7. Make decisions regarding work methods, often in ambiguous situations, with minimal guidance.
8. Collaborate with internal and external providers to meet member needs.
9. Ensure compliance with contractual and regulatory standards.
10. Follow established guidelines and procedures.

Required Qualifications

• Residency in the central to northern Roanoke/Alleghany Region, Virginia: counties of Giles, Montgomery, Roanoke, Salem, Bedford, Craig, Botetourt, Covington, Alleghany, Rockbridge, Buena Vista, Lexington, Bath, Highland.
• Active RN license in Virginia without disciplinary action.
• 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.
• Proficiency with Microsoft Office Suite.
• 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 pass Tuberculosis screening.
• Valid driver's license and personal vehicle insurance for travel.

Preferred Qualifications

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

Additional Information

• Workstyle: Remote position with regional travel required.
• Travel: 50-75% to meet members, families, and providers; occasional onsite in Glen Allen, VA.
• Work hours: Monday-Friday, 8:00am-5:00pm EST.
• Language assessment: Non-English speakers must complete an ILR language proficiency test.

Internet Requirements

• Minimum download speed: 25 Mbps; upload speed: 10 Mbps.
• Wireless, wired, or DSL connection preferred; satellite or cellular only with approval.
• Dedicated workspace to protect member information.

Interview Process

Use of HireVue platform for interviews to streamline hiring.

Compensation: $71,100 - $97,800 annually, with potential bonuses based on performance.

Benefits: Comprehensive health, retirement, paid time off, disability, life insurance, and more.

About Humana

Humana is dedicated to health and well-being, serving diverse communities and providing quality healthcare services.

Equal Opportunity Employer

Humana values diversity and inclusion, ensuring fair employment practices without discrimination based on protected characteristics.