RN, Field Care Manager; Maternal-Child Health - Roanoke​/Alleghany, Virginia

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Humana Healthy Horizons in Virginia is seeking a RN, Field Care Manager Nurse 2 (Maternal‑Health) who will assess and evaluate high acuity member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and well‑being of members who are pregnant and postpartum. The RN, Field Care Manager Nurse 2 (Maternal‑Health) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

• Responsible for health risk assessments along the continuum of care for members.
• Assess members, create individualized care plans, and attend interdisciplinary care team meetings.
• Employ a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho‑social health issues.
• Identify and resolve barriers that hinder effective care.
• Ensure members are progressing towards desired outcomes by continuously monitoring their care through assessments and/or 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 require minimal direction and receive guidance where needed.
• Collaborate with internal and external providers or departments to meet the member’s needs.
• Meet requirements for contractual and regulatory compliance.
• Follow established guidelines/procedures.

Required Qualifications

• Must reside in the central to northern Roanoke/Alleghany Region in the Commonwealth of Virginia in the counties/independent cities of Giles, Montgomery, Roanoke, Salem, Bedford, Craig, Botetourt, Covington, Alleghany, Rockbridge, Buena Vista, Lexington, Bath and Highland.
• 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.
• Minimum one (1) year of acute care experience working in obstetrics, women’s care, labor and delivery, mother, baby, NICU and/or clinical triage.
• Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
• Knowledge of community health and social service agencies and additional community resources.
• 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 use a variety of electronic information applications/software programs including electronic medical records.
• Excellent keyboard and web navigation skills.
• Ability to travel to region‑based facilities and homes for face‑to‑face assessments.

Preferred Qualifications

• Bachelor’s of Science in Nursing (BSN).
• 3-5 years of in‑home assessment and care coordination experience.
• Lactation experience, preferably as a certified lactation consultant.
• 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 in both languages without limitations or assistance. See “Additional Information” for more information.

• Workstyle: This is a remote position that will require you to travel.
• Travel: 50 - 75% region‑based travel to meet with members, their families and providers. May need to attend occasional onsite meetings in Humana Healthy Horizons office in Glen Allen, VA.
• Workdays and
  
  Hours:
  
  Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST).
• Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal…