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Humana

RN, Field Care Manager

Humana

RN Field Care Manager at Humana conducting assessments for LTSS and ABD members. Connecting individuals to appropriate services for optimal health outcomes in Virginia.

Posted 5/14/2026full-timeVirginia Beach • Virginia • 🇺🇸 United StatesJuniorMid-Level💰 $71,100 - $97,800 per yearWebsite

About the role

Key responsibilities & impact
  • perform telephonic and face-to-face assessments and evaluations of the needs and requirements of our long-term services and support (LTSS) and aged, blind and disabled (ABD) member population
  • support achieving and/or maintaining optimal wellness by guiding members/families toward and facilitating interaction with resources
  • work assignments that are varied and frequently require interpretation and independent determination of the appropriate courses of action
  • meet members in the field at their home or location of the member's choice, spending quality time assessing their goals, needs and barriers
  • connect our members with quality services to promote their ultimate well-being and drive person-centered health outcomes
  • review and analyze for medical complexity
  • develop member individualized care plans
  • employ a variety of evidence-based strategies and techniques to manage a member's physical, environmental, and psychosocial health
  • identify and resolve barriers that hinder effective care
  • ensure member is progressing towards desired outcomes by continuously monitoring member care through comprehensive assessments and/or evaluations
  • make autonomous decisions, occasionally in ambiguous situations
  • require minimal direction and receive guidance where needed
  • understand department, segment, and organizational strategy and operating goals, including their linkages to related areas
  • follow established guidelines/procedures.

Requirements

What you’ll need
  • Must reside in the Tidewater Region in the Commonwealth of Virginia in the counties/independent Cities of Suffolk, Franklin, Chesapeake, Portsmouth, or Isle of Wright
  • 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
  • One (1) year of experience working with individuals who meet the Cardinal Care Priority Population criteria (adult and pediatric populations at risk for chronic medical conditions & high social needs)
  • Knowledge of community health and social service agencies and additional community resources
  • Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel
  • Ability to use a variety of electronic information applications/software programs including electronic medical records
  • Excellent keyboard and web navigation skills
  • Ability to work with minimal supervision
  • Ability to work a full-time schedule.
  • This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program.
  • Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families.

Benefits

Comp & perks
  • 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

ATS Keywords

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Hard Skills & Tools
Registered Nurse (RN)case managementindividualized care plansevidence-based strategiescomprehensive assessmentsmedical complexity analysishealth outcomes monitoringtelephonic assessmentsface-to-face evaluationscommunity health knowledge
Soft Skills
autonomous decision-makingindependent determinationproblem-solvinginterpersonal communicationguidance facilitationgoal assessmentbarrier identificationminimal supervisionadaptabilitytime management
Certifications
Active Registered Nurse (RN) license