RN, Field Care Manager - Southwest Region, Virginia

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

Job summary

Join a forward-thinking organization as an RN, Field Care Manager, where your expertise will help improve the health of individuals in the community. This role involves assessing high-acuity members' needs and guiding them towards appropriate resources, focusing particularly on maternal health. You will collaborate with a diverse team, create personalized care plans, and ensure compliance with health standards. With a commitment to health and well-being, this innovative firm offers a supportive environment where your contributions can have a lasting impact on the lives of families. If you are passionate about making a difference, this opportunity is for you.

Benefits

Medical insurance

Dental insurance

Vision insurance

401(k)

Paid time off

Disability insurance

Life insurance

Wellness programs

Qualifications

• Must have an active RN license in Virginia without disciplinary actions.
• At least 2 years of healthcare and/or case management experience required.

Responsibilities

• Conduct health risk assessments and create individualized care plans.
• Monitor and evaluate members' progress towards health outcomes.

Skills

Healthcare experience

Case management

Communication skills

Microsoft Word

Microsoft Outlook

Microsoft Excel

Electronic medical records

Community health knowledge

Independent work

Bilingual skills

Education

Active RN license in Virginia

Bachelor's Degree in Nursing (BSN)

Tools

Electronic medical records

Web navigation

Job description

RN, Field Care Manager - Southwest Region, Virginia

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

Location: Hillsville, Virginia

Employment type: Full-Time

Job Description

• Req#: R-374403

Join our caring community and help prioritize health

Humana Healthy Horizons in Virginia is seeking an RN, Field Care Manager Nurse 2 (Maternal-Health). The role involves assessing and evaluating high-acuity members' needs to promote wellness by guiding members and families toward appropriate resources, especially for pregnant and postpartum individuals. The work is varied and often requires independent judgment.

• Conduct health risk assessments across the care continuum.
• Create individualized care plans and participate in interdisciplinary team meetings.
• Use diverse strategies to manage physical, environmental, and psychosocial health issues.
• Identify and resolve barriers to effective care.
• Monitor and evaluate members' progress towards health outcomes.
• Understand and align with departmental and organizational strategies.
• Make independent decisions regarding work methods, occasionally in ambiguous situations.
• 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 Southwest Region of Virginia, within specific counties or within a 20-mile radius of the border with Tennessee or Kentucky.
• 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.
• Proficient in Microsoft Word, Outlook, and Excel.
• 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 for travel.

Preferred Qualifications

• Bachelor's Degree in Nursing (BSN).
• 3-5 years in-home assessment and care coordination.
• Lactation certification, preferably as a lactation consultant.
• Experience in health promotion, coaching, wellness, and managed care.
• Certification in Case Management (CCM).
• Motivational Interviewing certification or knowledge.
• Bilingual in English and another language such as Spanish, Arabic, Vietnamese, Amharic, or Urdu.

Additional Information

• This is a remote role requiring travel to members' homes and facilities, approximately 50-75% of the time.
• Work hours are Monday–Friday, 8:00 am – 5:00 pm EST.
• Must meet internet requirements for remote work and work from a dedicated, interruption-free space.
• Interview process may include HireVue assessments.

Compensation & Benefits

Starting salary ranges from $71,100 to $97,800 annually, with potential bonuses based on performance. Benefits include medical, dental, vision, 401(k), paid time off, disability, life insurance, and wellness programs.

About Humana

Humana is committed to health and well-being, providing services to improve quality of life for various communities.

Equal Opportunity Employer

Humana values diversity and inclusion, ensuring fair employment practices without discrimination based on race, gender, age, disability, or veteran status.

About the company

Humana strives to create personalized health paths for every individual’s needs.