RN, Field Care Manager - Southwest Region, Virginia

Humana; Middlesborough (KY); Remote; USD 71,000 - 98,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated RN, Field Care Manager to assess and evaluate high-acuity members' needs, especially for those who are pregnant or postpartum. This remote role requires travel within the region, offering a unique opportunity to make a significant impact on community health. The ideal candidate will possess strong case management skills and a passion for patient care, working collaboratively with interdisciplinary teams to create individualized care plans. Join a forward-thinking organization committed to health and well-being, where your contributions will help shape the future of healthcare services.

Benefits

Health insurance

401(k)

Paid time off

Disability insurance

Life insurance

Wellness programs

Qualifications

• At least 2 years of healthcare and/or case management experience.
• Active RN license in Virginia without disciplinary actions.
• Minimum 1 year of acute care experience in obstetrics or women’s health.

Responsibilities

• Conduct health risk assessments across the care continuum for members.
• Create individualized care plans and participate in interdisciplinary care team meetings.
• Collaborate with internal and external providers to meet member needs.

Skills

Healthcare experience

Case management

Communication skills

Microsoft Word

Microsoft Outlook

Microsoft Excel

Electronic medical records

Community health knowledge

Bilingual (English and Spanish)

Education

Active RN license in Virginia

Bachelor's in Nursing (BSN)

Tools

Electronic medical records

Web navigation

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 a RN, Field Care Manager Nurse 2 (Maternal-Health) to assess and evaluate high-acuity members' needs, guiding them and their families toward resources that promote wellness, especially for members who are pregnant or postpartum. The role involves varied work assignments requiring interpretation and independent decision-making.

• Conduct health risk assessments across the care continuum for members.
• Create individualized care plans and participate in interdisciplinary care team meetings.
• Employ strategies to manage physical, environmental, and psycho-social health issues.
• Identify and resolve barriers to effective care.
• Monitor member progress toward health outcomes through ongoing assessments.
• Understand departmental and organizational strategies and objectives.
• Make work-related decisions independently, with guidance as needed.
• Collaborate with internal and external providers to meet member needs.
• Ensure compliance with contractual and regulatory requirements.
• Follow established guidelines and procedures.

Use Your Skills to Make an Impact

Required Qualifications

• Reside in the Southwest Virginia region, including counties such as Lee, Scott, Washington, Bristol, Russell, Norton, Wise, Buchanan, Dickenson, Tazewell, Smyth, Bland, Grayson, Gala, Wythe, Carroll, or within a 20-mile radius of bordering states (TN, KY).
• 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 service agencies.
• Excellent communication and interpersonal skills.
• Ability to work independently within the role's 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 in Nursing (BSN).
• 3-5 years in-home assessment and care coordination.
• Certified lactation consultant or lactation experience.
• Experience in health promotion, coaching, and wellness.
• Managed care experience.
• Case Management Certification (CCM).
• Knowledge of Motivational Interviewing.
• Bilingual in English and Spanish, Arabic, Vietnamese, Amharic, Urdu, or others.

Additional Information

• This is a remote role requiring travel (50-75%) within the region.
• Work hours are Monday–Friday, 8:00 am–5:00 pm EST.
• Applicants must pass a language proficiency assessment if speaking a language other than English.

Technology and Work Environment

• Reliable internet connection (minimum 25 Mbps download, 10 Mbps upload) required.
• Work from a dedicated, interruption-free space to protect patient information.

Interview Process

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

Compensation and Benefits

Salary ranges from $71,100 to $97,800 annually, with bonus potential based on performance. Benefits include health insurance, 401(k), paid time off, disability, life insurance, and wellness programs.

About Humana

Humana is committed to health and well-being, serving diverse communities through innovative healthcare services.

Equal Opportunity Employer

Humana values diversity and inclusivity, providing equal employment opportunities regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status.