RN, Field Care Manager – Maternal-Child Health

🕒 il y a 13 jours

⚜️ Louisiana – Distant

⚜️ Louisiana – Remote

💵 $71 100 - $97 800 / an

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

👔 Manager

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Humana

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1961

🏥 Santé

🛡️ Assurance

⚕️ Assurance santé

Healthcare • Insurance • Healthcare Insurance

Humana est une entreprise de soins de santé dédiée à avoir un impact positif sur la santé des individus, des communautés et du système de santé dans son ensemble. En mettant la santé au premier plan, Humana sert une large gamme de populations diverses, y compris les seniors et les militaires, en proposant des plans Medicare Advantage HMO, PPO et PFFS. Humana s'engage à favoriser une culture d'appartenance et de respect mutuel, offrant des avantages compétitifs et flexibles pour assurer la sécurité financière de ses employés et de leurs familles. L'entreprise est fière de créer un environnement de travail inclusif où chacun a l'opportunité de réussir.

Description

• Assess and evaluate members' needs and requirements to achieve or maintain optimal wellness • Guide members and families toward appropriate care and wellbeing resources • Manage members' physical, environmental, and psychosocial health issues • Identify and resolve barriers to effective care • Engage members and families in recovery and wellness programs using a holistic, member-focused approach • Conduct telephonic and in-person assessments • Monitor and evaluate member progress • Develop individualized care plans using clinical judgment and health-status changes • Collaborate with providers and community services for quality, cost-effective outcomes • Coordinate physical health, social determinants of health, and additional benefits • Facilitate communication across the care team, including PCPs and care transitions • Provide families with health and wellness resources • Submit incident reports as required • Participate in health promotion and community events • Implement care management activities according to contractual requirements, established guidelines, and Louisiana Department of Health directives • Conduct face-to-face interactions with members, families, and providers • Travel up to 50% within the assigned Louisiana region

🎯 Exigences

• Must reside in Region 6, 7, or 8 of Northern Louisiana, including the listed eligible parishes • Active licensed Registered Nurse (RN) in Louisiana without restrictions • Two or more years of clinical experience in maternal-child health, Labor & Delivery (L&D), and/or pediatrics • Intermediate to advanced computer skills • Experience with Microsoft Word, Outlook, and Excel • Ability to use electronic information applications/software, including electronic medical records • Exceptional communication and interpersonal skills • Ability to work independently with minimal supervision and exercise sound judgment • Case Management Certification (CCM) or willingness to obtain within two years of employment • Understanding of current state Maternal/Child Mortality Morbidity • Basic breastfeeding knowledge • Knowledge or experience with Medicare, Medicaid, and dual-eligible populations • Field Case Management experience • Managed Care Health Plan experience • Knowledge of community health and social service agencies and community resources • Experience with health promotion, coaching, and wellness • Motivational Interviewing experience • Must meet work-at-home internet requirements: minimum 25 Mbps download and 10 Mbps upload • Must work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information • Current or former Louisiana Health Department personnel working directly with LDH's Medicaid Division require a separation of two or more years from LDH for consideration

🏖️ Avantages

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Mileage reimbursement for work-related travel • Remote home office when not conducting community or member visits