RN, Field Care Manager - Southwest Region, Virginia

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

Job summary

Join a forward-thinking organization dedicated to improving health outcomes as a RN, Field Care Manager. In this impactful role, you will assess and guide high-acuity members, ensuring they receive the necessary resources for optimal wellness. Your expertise in healthcare and case management will be crucial as you create personalized care plans and work collaboratively with a diverse team. This position offers the flexibility of remote work, with travel required for face-to-face assessments. Embrace the opportunity to make a real difference in the lives of pregnant and postpartum members while enjoying comprehensive benefits and a supportive work environment.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Retirement Plans

Paid Time Off

Disability Insurance

Life Insurance

Qualifications

• Must have an active RN license in Virginia without disciplinary action.
• At least 2 years of healthcare experience, including case management.

Responsibilities

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

Skills

Healthcare Experience

Case Management

Communication Skills

Microsoft Word

Microsoft Excel

Community Health Knowledge

Electronic Medical Records

Bilingual Communication

Education

Active RN License in Virginia

Bachelor’s of Science in Nursing (BSN)

Tools

Microsoft Outlook

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 role involves varied work assignments that often require interpretation and independent decision-making.

• Responsible for health risk assessments across the care continuum for members.
• Creates individualized care plans and participates in interdisciplinary care team meetings.
• Employs strategies to manage physical, environmental, and psycho-social health issues.
• Identifies and resolves barriers to effective care.
• Monitors members’ progress towards desired outcomes through assessments and evaluations.
• Understand department, segment, and organizational strategies and their linkages.
• Makes work method decisions, sometimes in ambiguous situations, with minimal supervision.
• 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

• Must reside in the Southwest Region of Virginia, within specified counties or within a 20-mile radius of the region in a bordering state (TN, KY).
• Active RN license in Virginia without disciplinary action.
• At least 2 years of experience in healthcare and/or case management.
• 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 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.
• Ability to travel regionally for face-to-face assessments.
• Must have a valid driver’s license and personal vehicle insurance.

Preferred Qualifications

• Bachelor’s of Science in Nursing (BSN).
• 3-5 years of in-home assessment and care coordination.
• Lactation certification, preferably as a lactation consultant.
• Experience in health promotion and wellness coaching.
• Previous managed care experience.
• Certification in Case Management (CCM).
• Motivational Interviewing certification or knowledge.
• Bilingual in English and Spanish, Arabic, Vietnamese, Amharic, or Urdu (fluency in both languages required).

Additional Information

• This is a remote role requiring travel.
• Travel is approximately 50-75% within the region, with occasional onsite meetings in Glen Allen, VA.
• Work hours are Monday to Friday, 8:00 am – 5:00 pm EST.
• Must pass a language proficiency assessment if speaking with members in a language other than English.
• Home/Hybrid employees must meet internet speed requirements and work from a dedicated, interruption-free space.
• Interview process involves HireVue technology.

Compensation and Benefits

Starting salary ranges from $71,100 to $97,800 annually, with potential bonuses based on performance. Humana offers comprehensive benefits including health, dental, vision, retirement plans, paid time off, disability, and life insurance.

About us

Humana Inc. is dedicated to prioritizing health for our members and employees, improving quality of life through accessible healthcare services.

Equal Opportunity Employer

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