RN, Field Care Manager - Southwest Region, Virginia

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

Job summary

Join a forward-thinking organization dedicated to improving health outcomes in the community. As a Field Care Manager, you will play a crucial role in guiding high-acuity members through their healthcare journeys, ensuring they receive the necessary support and resources. This remote position offers the opportunity to make a significant impact while working independently and collaborating with a dedicated team. If you are passionate about maternal health and possess strong case management skills, this role provides a rewarding chance to contribute to the well-being of families in your region.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Paid Time Off

Disability Insurance

Life Insurance

Qualifications

• 2 years of healthcare or case management experience required.
• Active RN license in Virginia without disciplinary action.
• Experience in obstetrics or clinical triage preferred.

Responsibilities

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

Skills

Healthcare Experience

Case Management

Communication Skills

Microsoft Office

Electronic Medical Records

Travel Ability

Education

Active RN License in Virginia

Bachelor’s of Science in Nursing (BSN)

Tools

Microsoft Office

Job description

RN, Field Care Manager - Southwest Region, Virginia

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

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

• Responsible for health risk assessments along the care continuum.
• Creates individualized care plans and participates in interdisciplinary team meetings.
• Employs strategies to manage physical, environmental, and psycho-social health issues.
• Identifies and addresses barriers to effective care.
• Monitors member progress towards health outcomes.
• Understands departmental and organizational strategies and objectives.
• Makes autonomous decisions regarding work methods, with guidance as needed.
• Collaborates with providers and internal departments to meet member needs.
• Ensures compliance with contractual and regulatory standards.
• Follows established guidelines and procedures.

Use your skills to make an impact

Required Qualifications

• Reside in the Southwest Region of Virginia, within specified counties or within a 20-mile radius from bordering states (TN, KY).
• 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.
• Intermediate to advanced skills in Microsoft Office.
• 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 TB screening and have a valid driver’s license with insurance.
• Ability to travel regionally for face-to-face assessments.

Preferred Qualifications

• Bachelor’s of Science in Nursing (BSN).
• 3-5 years of in-home assessment and care coordination.
• Lactation certification or experience.
• Experience in health promotion, coaching, wellness, or managed care.
• Certification in Case Management (CCM).
• Motivational Interviewing certification.
• Bilingual abilities, particularly in Spanish, Arabic, Vietnamese, Amharic, Urdu, or others.

Additional Information

• This is a remote position requiring travel (50-75%).
• Work hours: Monday–Friday, 8 am–5 pm EST.
• Position involves travel to member homes and facilities.
• Applicants will undergo language proficiency testing if applicable.
• Internet requirements: minimum 25 Mbps download and 10 Mbps upload speeds.
• Interview via HireVue technology.
• Salary range: $71,100 - $97,800 annually, plus potential bonuses.

Description of Benefits

Humana offers comprehensive benefits including health, 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 is an equal opportunity employer, committed to diversity and inclusion in the workplace.