RN, Field Care Manager - Southwest Region, Virginia

Humana; Kingsport (TN); Remote; USD 71,000 - 98,000; Full time

Job summary

Join a forward-thinking company dedicated to improving health outcomes for diverse communities. As an RN Field Care Manager, you'll play a vital role in assessing and guiding members through their healthcare journey, particularly focusing on maternal health. This position offers the chance to work independently while collaborating with a dedicated team to create personalized care plans. With a commitment to wellness and comprehensive benefits, this role provides a fulfilling opportunity to make a real difference in people's lives. If you are passionate about healthcare and want to be part of a caring community, this is the perfect opportunity for you.

Benefits

Medical insurance

Dental insurance

Vision insurance

401(k) plan

Paid time off

Comprehensive wellness benefits

Qualifications

• 2+ years of healthcare and/or case management experience required.
• Experience in obstetrics, women’s care, or clinical triage is a must.
• Ability to work independently and manage care effectively.

Responsibilities

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

Skills

Healthcare experience

Case management

Communication skills

Electronic medical records

Independent decision-making

Knowledge of community health

Ability to travel

Education

Active RN license in Virginia

Bachelor’s of Science in Nursing (BSN)

Tools

Microsoft Word

Microsoft Outlook

Microsoft Excel

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 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 of pregnant and postpartum members. The RN, Field Care Manager Nurse 2 (Maternal-Health) work assignments are varied and often require interpretation and independent decision-making.

• Responsible for health risk assessments along the care continuum for members.
• Creates individualized care plans, assesses members, and participates in interdisciplinary care team meetings.
• Employs various strategies and techniques to manage physical, environmental, and psycho-social health issues.
• Identifies and resolves barriers to effective care.
• Monitors members' progress towards desired outcomes through ongoing assessments and evaluations.
• Understand department, segment, and organizational strategies and objectives, including their linkages to related areas.
• Makes independent decisions regarding work methods, occasionally in ambiguous situations, requiring minimal guidance.
• Collaborates with internal and external providers to meet member needs.
• Ensures compliance with contractual and regulatory requirements.
• Follows established guidelines and procedures.

Use your skills to make an impact

Required Qualifications

• Reside in the Southwest Region of Virginia, within the counties/cities of Lee, Scott, Washington, Bristol, Russell, Norton, Wise, Buchanan, Dickenson, Tazewell, Smyth, Bland, Grayson, Gala, Wythe, Carroll, or within a 20-mile radius of the region in bordering states (TN, KY).
• 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 with Microsoft Word, Outlook, and Excel.
• Knowledge of community health and social services.
• Excellent communication and interpersonal skills.
• Ability to work independently within the role and scope.
• Experience with electronic medical records and other software applications.
• Ability to travel regionally for face-to-face assessments.
• Possession of a valid driver’s license and personal vehicle insurance.
• This role involves TB screening and participation in Humana’s driver safety program.

Preferred Qualifications

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

Additional Information

• This is a remote position requiring travel.
• Travel is approximately 50-75% to meet with 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.
• Applicants must pass a language proficiency assessment if speaking with members in languages other than English.
• Internet requirements: minimum 25 Mbps download and 10 Mbps upload speeds, with a dedicated workspace.
• Interview process may include HireVue digital interviews.
• Salary range: $71,100 - $97,800 annually, with potential bonuses based on performance.
• Humana offers comprehensive benefits supporting wellness, including medical, dental, vision, 401(k), paid time off, and more.

About us

Humana is dedicated to putting health first, providing accessible healthcare services to improve quality of life for diverse communities.

Equal Opportunity Employer

Humana values diversity and is committed to equal employment opportunities for all applicants and employees.