Maternity FCM Registered Nurse
HumanaAbout the role
Become a part of our caring community and help us put health first
This role is part of the HumanaBeginnings™ Care Management team. The goal of HumanaBeginnings is to promote and empower women, mothers, and birthing persons to achieve optimal and sustainable health and well-being for themselves and their newborns. HumanaBeginnings provides pregnancy, birth, and postpartum support through specialized healthcare professionals with diverse backgrounds in obstetrics care. HumanaBeginnings delivers enrollee connections to community resources, internal Humana benefits and an individualized plan of care. HumanaBeginnings promotes enrollee focused, equitable, health education to help enrollees achieve positive pregnancy outcomes, reduction of health disparities, and personal and family health awareness for lifelong well-being in the communities we serve.The Field Care Manager 2 employs a variety of strategies, approaches, and techniques to manage health and well-being concerns of Medicaid enrollees from an integrated Medical and Behavioral Health approach with added focus on addressing social determinants of health. An associate in this role Identifies and resolves barriers that hinder effective care while using the support and resources of the Humana Medicaid Interdisciplinary Care Team and the enrollee’s multi-disciplinary team.
The Field Care Manager 2, through regular face to face and telephonic contact, active assessment and individualized care planning proactively assists in helping enrollees meet health, well-being and social determinant of health goals.
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. Follows established guidelines/procedures.
Use your skills to make an impact
Required Qualifications
Active Registered Nurse License in the state of Kentucky without disciplinary action.
2 years varied experience in maternal child health, (mom/baby, obstetrics, L&D, NICU,).
Exceptional 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.
Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
Excellent keyboard and web navigation skills.
Humana's Driver Safety program
This role is a part of Humana's Driver Safety program and therefore requires and individual to have access to a reliable vehicle, valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.
Tuberculosis (TB) Screening Program
This role is considered patient facing and is part of Humana At Home's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Work at Home Guidance To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and microwave connection can be used only if approved by leadership
Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office associates 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
Additional Information / Adherence
Workstyle: Field
Location:
Northern – Covington, Florence, Fort Mitchell, Glasgow, Maysville,
Southern – Bowling Green, Cadiz, Campbellsville, Cave City, Cerulean, Cumberland, Danville, Fort Campbell, Harlan, Herndon, Hopkinsville, Lafayette, Loyall, Owensboro, Oak Grove, Williamsburg
Eastern – Pikeville, Ashland, London, Morehead, Prestonburg
Western – Gracey, Mayfield, Paducah, West Paducah,
Schedule:
Monday - Friday 8:00 AM - 5:00 PM Eastern Time
No weekends, holidays
Option for 4 10s after 6 months with leader and busine
Apply for this role
Generate a tailored application kit with a matched cover letter, interview prep, and CV highlights — in under 60 seconds.
Apply Now →Generate Application KitFree account required — sign up in 30s