RN, Field Care Manager - Southwest Region, Virginia

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

Job summary

An established industry player is seeking a dedicated RN, Field Care Manager to join their team in Virginia. In this pivotal role, you will assess and evaluate high-acuity members' needs, guiding them toward optimal wellness through personalized care plans. Your expertise in healthcare and case management will be essential as you navigate the complexities of patient care, collaborating with families and providers. This remote position offers the opportunity to make a significant impact in the community, with a focus on maternal health and wellness. If you are passionate about improving lives and thrive in a dynamic environment, this role is perfect for you.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Paid Time Off

Disability Insurance

Life Insurance

Qualifications

• Must have at least 2 years of healthcare or case management experience.
• Proficient in Microsoft Office applications and electronic medical records.

Responsibilities

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

Skills

Healthcare Experience

Case Management

Communication Skills

Microsoft Office

Electronic Medical Records

Traveling for Assessments

Education

Active RN License in Virginia

Bachelor's Degree in Nursing (BSN)

Job description

RN, Field Care Manager - Southwest Region, Virginia

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

Employment type: Full-Time

Job Description

Req#: R-374403
Join our caring community and help prioritize health
Humana Healthy Horizons in Virginia seeks an RN, Field Care Manager Nurse 2 (Maternal-Health) to assess and evaluate high-acuity members' needs to promote optimal wellness. The role involves guiding members and families, facilitating resource interaction, and working independently to determine appropriate care actions.
• Conduct health risk assessments across the care continuum.
• Create individualized care plans and participate in care team meetings.
• Utilize strategies to manage physical, environmental, and psycho-social health issues.
• Identify and resolve barriers to effective care.
• Monitor members' progress towards health outcomes.
• Understand departmental and organizational strategies and objectives.
• Make independent decisions within the scope of work, sometimes in ambiguous situations.
• Collaborate with providers and departments 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 (counties/cities including Lee, Scott, Washington, Bristol, Russell, Norton, Wise, Buchanan, Dickenson, Tazewell, Smyth, Bland, Grayson, Gala, Wythe, Carroll or within 20 miles of bordering states TN, KY).
• Active RN license in Virginia with no disciplinary action.
• At least 2 years of healthcare or case management experience.
• Minimum 1 year of acute care experience in obstetrics, women’s care, labor/delivery, NICU, or clinical triage.
• Proficient in Microsoft Office applications.
• Knowledge of community health and social services.
• Strong communication and interpersonal skills.
• Ability to work independently within scope.
• Experience with electronic medical records and web navigation.
• Must be able to travel regionally for face-to-face assessments.
• Must have a valid driver’s license and vehicle insurance.

Preferred Qualifications

• Bachelor's Degree in Nursing (BSN).
• 3-5 years in-home assessment and care coordination.
• Lactation certification or experience.
• Experience in health promotion and wellness.
• Managed care experience.
• Certification in Case Management (CCM).
• Motivational Interviewing certification.
• Bilingual abilities, especially in English/Spanish, Arabic, Vietnamese, Amharic, Urdu, or others.

Additional Information

• This is a remote role requiring travel.
• Travel estimated at 50-75% to meet members, families, and providers.
• Work hours: Monday to Friday, 8:00 am – 5:00 pm EST.
• Language proficiency assessment required for non-English speakers.

Internet Requirements

• Minimum internet speed: 25 Mbps download, 10 Mbps upload.
• Use of satellite or cellular internet requires approval.
• Work from a dedicated, interruption-free space.

Interview Process

Use of HireVue technology for interviews.

Scheduled weekly hours: 40

Salary range: $71,100 - $97,800 annually, with potential bonuses based on performance.

Benefits

Includes medical, dental, vision, 401(k), paid time off, disability, life insurance, and more.

About us

Humana is dedicated to health and well-being, providing services that improve quality of life for diverse populations.

Equal Opportunity Employer

Humana promotes diversity and equal opportunity in employment, adhering to all relevant laws and policies.

About the company

Humana strives to create personalized health paths for every individual.