Become a part of our caring community and help us put health first
 

Humana Healthy Horizons in Virgina 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.
• 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 member’s 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 Commonwealth of Virginia or within a 40-mile radius from Virginia in a bordering state/district (Washington DC, MD, WV, KY, TN & NC).
• 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.
• 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.
• This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
• Ability to travel to region-based facilities and homes for face-to-face assessments.
• This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Preferred Qualifications

• Bachelor's 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 pr