RN, Field Care Manager(Maternal-Child Health) – Roanoke/Alleghany, Virginia Position Available In Burke, North Carolina

Job Description:

Become a part of our caring community and help us put healthfirst Humana Healthy Horizons in Virginia is seeking a RN, Field CareManager Nurse 2 (Maternal-Health) who will assess and evaluate highacuity member’s needs and requirements to achieve and/or maintainoptimal wellness state by guiding members/families toward andfacilitate interaction with resources appropriate for the care andwell-being of members who are pregnant and postpartum. The RN,Field Care Manager Nurse 2 (Maternal-Health) work assignments arevaried and frequently require interpretation and independentdetermination of the appropriate courses of action. Earn a $5,000 hiring bonus! $2,000 is paid after 6 months (180days) of employment and $3,000 is paid after 1 year (365 days) ofemployment. You must be employed until those dates to be eligibleto receive the payment. Responsible for health risk assessments along the continuum ofcare for members. Assesses members, creates individualized care plans, andattends interdisciplinary care team meetings. Employs a variety of strategies, approaches, and techniques tomanage a member’s physical, environmental, and psycho-social healthissues. Identifies and resolves barriers that hinder effectivecare. Ensures members are progressing towards desired outcomes bycontinuously monitoring their care through assessments and/orevaluations. Understands department, segment, and organizational strategyand operating objectives, including their linkages to relatedareas. Makes decisions regarding own work methods, occasionally inambiguous. situations, and requires minimal direction and receivesguidance where needed. Collaborates with internal and external providers ordepartments to meet the member’s needs. Meets requirements for contractual and regulatorycompliance. Follows established guidelines/procedures. Use your skills tomake an impact Required Qualifications Must reside in the central to northern Roanoke/Alleghany Regionin the Commonwealth of Virginia in the counties/independent citiesof Giles, Montgomery, Roanoke, Salem, Bedford, Craig, Botetourt,Covington, Alleghany, Rockbridge, Buena Vista, Lexington, Bath andHighland. Active Registered Nurse (RN) license in the Commonwealth ofVirginia without disciplinary action. Two (2) years of prior experience in health care and/or casemanagement. Minimum one (1) year of acute care experience working inobstetrics, women’s care, labor and delivery, mother, baby, NICUand/or clinical triage. Intermediate to Advanced computer skills and experience withMicrosoft Word, Outlook, and Excel. Knowledge of community health and social service agencies andadditional community resources. Exceptional oral and written communication and interpersonalskills with the ability to quickly build rapport. Ability to work with minimal supervision within the role andscope. Ability to use a variety of electronic informationapplications/software programs including electronic medicalrecords. Excellent keyboard and web navigation skills. This role is considered patient facing and is part of Humana’sTuberculosis (TB) screening program. If selected for this role, youwill be required to be screened for TB. Ability to travel to region-based facilities and homes forface-to-face assessments. This role is part of Humana’s driver safety program andtherefore requires an individual to have a valid state driver’slicense and are expected to maintain personal vehicle liabilityinsurance. Individual must carry vehicle insurance in accordancewith their residing state minimum required limits, or $25,000bodily injury per person/$25,000 bodily injury per event /$10,000for property damage or whichever is higher. PreferredQualifications Bachelor’s of Science in Nursing (BSN). 3-5 years of in-home assessment and care coordinationexperience. Lactation experience, preferably as a certified lactationconsultant. 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 inboth languages without limitations or assistance. See “AdditionalInformation” for more information.

Additional Information Workstyle:

This is a remote position that will require you totravel.

Travel:

50 – 75% region-based travel to meet with members,their families and providers. May need to attend occasional onsitemeetings in Humana Healthy Horizons office in Glen Allen, VA.

Workdays and Hours:

Monday – Friday; 8:00am – 5:00pm EasternStandard Time (EST).

Language Assessment Statement:

Any Humana associate who speakswith a member in a language other than English must take a languageproficiency assessment, provided by an outside vendor, to ensurecompetency. Applicants will be required to take the InteragencyLanguage Rating (ILR) test as provided by the Federal Government.

WAH Internet Statement To ensure Home or Hybrid Home/Office employees’ ability to workeffectively, the self-provided internet service of Home or HybridHome/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of10 Mbps is required; wireless, wired cable or DSL connection issuggested. Satellite, cellular and microwave connection can be used onlyif approved by leadership. Humana will provide Home or Hybrid Home/Office employees withtelephone equipment appropriate to meet the business requirementsfor their position/job. Work from a dedicated space lacking ongoing interruptions toprotect member

PHI / HIPAA

information. Interview Format As part of our hiring process for this opportunity, we will beusing an interviewing technology called HireVue to enhance ourhiring and decision-making ability. HireVue allows us to quicklyconnect and gain valuable information from you pertaining to yourrelevant skills and experience at a time that is best for yourschedule.

Travel:

While this is a remote position, occasional travel toHumana’s offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate ofstarting base pay for full time (40 hours per week) employment atthe time of posting. The pay range may be higher or lower based ongeographic location and individual pay will vary based ondemonstrated job related skills, knowledge, experience, education,certifications, etc. $71,100 – $97,800 per year This job is eligible for a bonus incentive plan. This incentiveopportunity is based upon company and/or individualperformance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively,”Humana”) offers competitive benefits that support whole-personwell-being. Associate benefits are designed to encourage personalwellness and smart healthcare decisions for you and your familywhile also knowing your life extends outside of work. Among ourbenefits, 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 parentaland caregiver leave), short-term and long-term disability, lifeinsurance and many other opportunities. About us Humana Inc. (

NYSE:

HUM) is committed to putting health first – forour teammates, our customers and our company. Through our Humanainsurance services and CenterWell healthcare services, we make iteasier for the millions of people we serve to achieve their besthealth – delivering the care and service they need, when they needit. These efforts are leading to a better quality of life forpeople with Medicare, Medicaid, families, individuals, militaryservice personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employeeor applicant for employment because of race, color, religion, sex,sexual orientation, gender identity, national origin, age, maritalstatus, genetic information, disability or protected veteranstatus. It is also the policy of Humana to take affirmative action,in compliance with Section 503 of the Rehabilitation Act andVEVRAA, to employ and to advance in employment individuals withdisability or protected veteran status, and to base all employmentdecisions only on valid job requirements. This policy shall applyto all employment actions, including but not limited torecruitment, hiring, upgrading, promotion, transfer, demotion,layoff, recall, termination, rates of pay or other forms ofcompensation and selection for training, including apprenticeship,at all levels of employment.