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

The NICU Care Manager (Field Care Manager, Nurse 2) will complete assessments in person and telephonically with the membership. This position evaluates high acuity member's needs and requirements to achieve and/or maintain optimal wellness. This position will facilitate interaction with resources appropriate for the care and well-being of NICU members. The NICU Care Manager’s work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Earn a $5,000 hiring bonus!  $2,000 is paid after 6 months (180 days) of employment and $3,000 is paid after 1 year (365 days) of employment. You must be employed until those dates to be eligible to receive the payment.  

The NICU Care Manager (Field Care Manager, Nurse 2) will complete assessments in person and telephonically with the membership. This position evaluates high acuity member's needs and requirements to achieve and/or maintain optimal wellness. This position will facilitate interaction with resources appropriate for the care and well-being of NICU members, including vulnerable infant members, including those diagnosed with neonatal abstinence syndrome, classified as substance-exposed, or admitted to the NICU Level 3. The NICU Care Manager’s work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

POSITION RESPONSIBILITIES:

• 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 patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
• The NICU Care Manager will review, analyze, assess, and attest for medical complexity.
• Responsible for health risk assessments along the continuum of care for members.
• Candidate will assess the member, create individualized care plans, and attend interdisciplinary care team meetings.
• 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.
• Collaboration with internal and external providers or departments to meet the member’s needs.
• Meet requirements for contractual and regulatory compliance.
• Responsible for providing clinical oversight and support for care coaches providing specialized Case Management wrap around services and supports, maintaining a case load.
• Follows established guidelines/policies/procedures.

Use your skills to make an impact
 

Required Qualifications

• Must reside in Virginia; This role will be regionally based in one of the Commonwealth’s six regions: Tidewater, Central, Northern/Winchester, Western/Charlottesville, Roanoke/Alleghany, Southwest. This includes within 40 miles of adjacent states to Virginia.
• Active Registered Nurse (RN) license in the Commonwealth of Virginia without disciplinary action.
• At least 2 years of prior experience in health care and/or case management.
• Minimum of one year of experience working directly with members who meet the conditions listed: Members receiving private duty nursing services, Life-sustaining Ventilator-dependent Members, Vulnerable infant members, including those diagnosed with neonatal abstinence syndrome, classified as substance-exposed, or admitted to the NICU Level 3."
• Knowledge of community health and social service agencies and additional community resources.
• Ability to travel to region-based facilities and homes for face-to-face assessments.
• Exceptional oral and written communication and interpersonal skills with the ability to quickly build rapport.
• Experience with the neonatal population with high/complex acuity.
• 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.
• Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
• Excellent keyboard and web navigation skills.
• Ability to work a full-time.
• Valid driver's license, car insurance, and access to an automobile.
• This role is part of Humana's Driver Safety program and therefore requires an individual to have a valid state driver’s license and proof of vehicle liability insurance. Individ