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 state by guiding members/families toward and facilitate interaction with resources appropriate for the care and well-being of members who are pregnant and postpartum. The RN, Field Care Manager Nurse 2 (Maternal-Health) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Responsible for health risk assessments along the continuum of care for members.
Assesses members, creates individualized care plans, and attends interdisciplinary care team meetings.
Employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.
Identifies and resolves barriers that hinder effective care.
Ensures members are progressing towards desired outcomes by continuously monitoring their care through assessments and/or evaluations.
Meets requirements for contractual and regulatory compliance.
Active Registered Nurse (RN) license in the Commonwealth of Virginia without disciplinary action.
Minimum two (2) years of experience of in-home case/care management.
Minimum one (1) year of acute care experience working in obstetrics, women’s care, labor and delivery, mother, baby, NICU and/or clinical triage.
Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
Knowledge of community health and social service agencies and additional community resources.
Ability to work with minimal supervision within the role and scope.
Ability to use a variety of electronic information applications/software programs including electronic medical records.
Excellent keyboard and web navigation skills.
Ability to travel to region-based facilities and homes for face-to-face assessments.
Bachelor's of Science in Nursing (BSN).
~3-5 years of in-home assessment and care coordination experience.
~ Experience with health promotion, coaching and wellness.
~ Previous managed care experience.
~ Certification in Case Management (CCM).
~ Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations or assistance. Workstyle: This is a remote position that will require you to travel.
Travel: 50 - 75% region-based travel to meet with members, their families and providers. May need to attend occasional onsite meetings in Humana Healthy Horizons office in Glen Allen, VA.
Workdays and Hours: Monday – Friday; Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
wireless, wired cable or DSL connection is suggested.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. This incentive opportunity is based upon company and/or individual performance.
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status . It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
