RN, Field Care Manager – Maternal-Child Health

🔥 53 minutes ago

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

💵 $71.1k - $97.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 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 changes in health status • Collaborate with providers and community services to ensure 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 health and wellness resources to families • 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 within the assigned Louisiana region and attend community engagement activities and team meetings

🎯 Requirements

• Must reside in Region 1, 3, or 9 of Southern Louisiana, including Assumption, Jefferson, Lafourche, Livingston, Orleans, Plaquemines, St. Bernard, St. Charles, St. Helena, St. James, St. John, St. Mary, St. Tammany, Tangipahoa, Terrebonne, or Washington parishes • Active, unrestricted Louisiana Registered Nurse (RN) license • 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 • 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 home internet requirements of at least 25 Mbps download and 10 Mbps upload • Must work from a dedicated space protecting member PHI/HIPAA information

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical, dental, and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Mileage reimbursement for work-related travel • Remote home office when not conducting community or member visits • Occasional travel to Humana offices for training or meetings