Humana

Maternal-Child Health RN Field Care Manager

Humana

full-time

Posted on:

Location: Virginia • 🇺🇸 United States

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Salary

💰 $71,100 - $97,800 per year

Job Level

JuniorMid-Level

About the role

  • Conduct health risk assessments along the continuum of care for members
  • Assess members, create individualized care plans, and attend interdisciplinary care team meetings
  • Employ strategies to manage physical, environmental, and psychosocial health issues
  • Identify and resolve barriers hindering effective care
  • Monitor progress through ongoing assessments/evaluations
  • Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
  • Make 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.

Requirements

  • Must reside in Northern/Winchester Region in the Commonwealth of Virginia and travel to see members in region-based facilities and homes for face-to-face assessments and interactions with members and/or families.
  • In the counties/independent cities of Winchester, Frederick, Clarke, Warren, Shenandoah, Page, Rappahannock, Culpeper, Fauquier, Prince William, Fairfax, Fairfax City, Alexandria, Arlington, Falls Church, Loudoun, Manassas and Manassas Park.
  • Active Registered Nurse (RN) license in the Commonwealth of Virginia without disciplinary action.
  • 2 years of prior experience in health care and/or case management.
  • 1 year of acute care experience working in obstetrics, women’s care, labor and delivery, mother, baby, NICU and/or clinical triage.
  • 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 with the ability to use a variety of electronic information applications/software programs including electronic medical records.
  • Excellent keyboard and web navigation skills.
  • 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 travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families.
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