RN, Field Care Manager - Southwest Region, Virginia

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

Job summary

An established industry player is seeking a dedicated RN, Field Care Manager to enhance the health of members in Virginia. This remote role involves assessing high-acuity members, especially pregnant and postpartum individuals, while collaborating with interdisciplinary teams. With a focus on wellness, you will create personalized care plans and navigate community resources to overcome barriers to effective care. Join a forward-thinking organization that values diversity and offers comprehensive benefits, including health insurance and a supportive work environment. If you are passionate about making a difference in healthcare, this opportunity is perfect for you.

Benefits

Health Insurance

401(k)

Paid Time Off

Disability Insurance

Life Insurance

Wellness Programs

Qualifications

• 2+ years of healthcare or case management experience required.
• Active RN license in Virginia needed without disciplinary actions.
• Experience in obstetrics or women's care is essential.

Responsibilities

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

Skills

Healthcare Experience

Case Management

Communication Skills

Microsoft Word

Microsoft Excel

Interpersonal Skills

Electronic Medical Records

Bilingual Communication

Education

Active RN License

Bachelor's in Nursing (BSN)

Tools

Microsoft Outlook

Job description

RN, Field Care Manager - Southwest Region, Virginia

Join our caring community and help 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 promote wellness by guiding members and families toward appropriate resources, especially for pregnant and postpartum members. The role involves varied work assignments requiring interpretation and independent decision-making.

• Conduct health risk assessments across the care continuum.
• Create individualized care plans and participate in interdisciplinary team meetings.
• Employ strategies to manage physical, environmental, and psycho-social health issues.
• Identify and resolve barriers to effective care.
• Monitor members' progress toward health outcomes through assessments and evaluations.
• Understand departmental and organizational strategies and objectives.
• Make independent work decisions within scope, occasionally in ambiguous situations.
• Collaborate with internal and external providers to meet members' needs.
• Ensure compliance with contractual and regulatory standards.
• Follow established guidelines and procedures.

Use your skills to make an impact

Required Qualifications

• Reside in Southwest Virginia, specifically in Lee, Scott, Washington, Bristol, Russell, Norton, Wise, Buchanan, Dickenson, Tazewell, Smyth, Bland, Grayson, Gala, Wythe, Carroll counties or within 20 miles of these areas in a bordering state (TN, KY).
• Active RN license in Virginia without disciplinary actions.
• 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.
• Proficient in Microsoft Word, Outlook, and Excel.
• Knowledge of community health and social services.
• Excellent communication and interpersonal skills to build rapport quickly.
• Ability to work independently within role scope.
• Experience with electronic medical records and web navigation.
• Willingness to undergo TB screening and travel within the region.
• Valid driver's license and personal vehicle insurance meeting state minimums.

Preferred Qualifications

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

Additional Information

• This is a remote role requiring travel to meet members and providers.
• Travel is estimated at 50-75% within the region.
• Work hours are Monday to Friday, 8:00 am to 5:00 pm EST.
• Must meet internet requirements for remote work and work from a dedicated, interruption-free space.

Interview Process

We use HireVue for interviews, allowing flexible scheduling to assess your skills and experience efficiently.

Compensation and Benefits

Salary ranges from $71,100 to $97,800 annually, with eligibility for bonuses. Humana offers comprehensive benefits including health insurance, 401(k), paid time off, disability, life insurance, and wellness programs.

About Humana

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

Equal Opportunity Employer

Humana values diversity and is committed to equal employment opportunities regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status, and complies with all relevant laws.