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RN, Field Care Manager(Maternal-Child Health) RoanokeAlleghany, Virginia
RN, Field Care Manager(Maternal-Child Health) RoanokeAlleghany, VirginiaHumana • Roanoke, Virginia, USA
RN, Field Care Manager(Maternal-Child Health) RoanokeAlleghany, Virginia

RN, Field Care Manager(Maternal-Child Health) RoanokeAlleghany, Virginia

Humana • Roanoke, Virginia, USA
[job_card.variable_days_ago]
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  • [job_card.full_time]
[job_card.job_description]

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 members 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 members 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.
  • Understands department segment and organizational strategy and operating objectives including their linkages to related areas.
  • Makes decisions regarding own work methods occasionally in ambiguous. situations and requires minimal direction and receives guidance where needed.
  • Collaborates with internal and external providers or departments to meet the members needs.
  • Meets requirements for contractual and regulatory compliance.
  • Follows established guidelines / procedures.

Use your skills to make an impact

Required Qualifications

  • Must reside in the central to northern Roanoke / Alleghany Region in the Commonwealth of Virginia in the counties / independent cities of Giles Montgomery Roanoke Salem Bedford Craig Botetourt Covington Alleghany Rockbridge Buena Vista Lexington Bath and Highland.
  • Active Registered Nurse (RN) license in the Commonwealth of Virginia without disciplinary action.
  • Two (2) years of prior experience in health care and / or case management.
  • Minimum one (1) year of acute care experience working in obstetrics womens 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.
  • Exceptional oral and written communication and interpersonal skills with the ability to quickly build rapport.
  • 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.
  • Preferred Qualifications

  • Bachelors of Science in Nursing (BSN).
  • 3-5 years of in-home assessment and care coordination experience.
  • Lactation experience preferably as a certified lactation consultant.
  • Experience with health promotion coaching and wellness.
  • Previous managed care experience.
  • Certification in Case Management (CCM).
  • Motivational Interviewing Certification and / or knowledge.
  • 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. See Additional Information for more information.
  • Additional Information

  • 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; 8 : 00am 5 : 00pm Eastern Standard Time (EST).
  • 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.
  • WAH Internet Statement

    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 :

  • At minimum a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless wired cable or DSL connection is suggested.
  • Satellite cellular and microwave connection can be used only if approved by leadership.
  • Humana will provide Home or Hybrid Home / Office employees with telephone equipment appropriate to meet the business requirements for their position / job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
  • HireVue

    As part of our hiring process for this opportunity we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

    SSN Alert

    Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number if it is not already on file. When required an email will be sent from with instructions on how to add the information into your official application on Humanas secure website.

    Driving

    This role is part of Humanas driver safety program and therefore requires an individual to have a valid state drivers license and proof of personal vehicle liability insurance with at least 100 / 300 / 100 limits.

    TB

    This role is considered patient facing and is part of Humanas Tuberculosis (TB) screening program. If selected for this role you will be required to be screened for TB.

    Travel : While this is a remote position occasional travel to Humanas offices for training or meetings may be required.

    Scheduled Weekly Hours

    40

    Pay Range

    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. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills knowledge experience education certifications etc.

    $71100 - $97800 per year

    This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and / or individual performance.

    Description of Benefits

    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.

    About us

    Humana Inc. (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.

    Equal Opportunity Employer

    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 protected veteran status. It is also the policy of Humana to take affirmative action in compliance with Section 503 of the Rehabilitation Act and VEVRAA to employ and to advance in employment individuals with 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.

    Required Experience :

    Manager

    Key Skills

    Corrosion Inspection,Apache Tomcat,Apparel,Gallery,Infection Control

    Employment Type : Full-Time

    Experience : years

    Vacancy : 1

    Yearly Salary Salary : 71100 - 97800

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