Maternity Care Management Field Nurse

Become a part of our caring community and help us put health first
 

The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Maternity Field Care Management Nurse (Field Care Manager Nurse) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

We have a position available in Region 6, 7, or 8 in Louisiana.

Position Responsibilities:

The Field Care Manager employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. 

• Uses a holistic, member-focused approach to engage members and families in recovery and wellness programs
• Conducts telephonic and in-person assessments to identify member needs and guide to appropriate resources
• Supports optimal health and wellbeing through regular monitoring and evaluation of progress
• Develops individualized care plans using clinical judgment and changes in health status
• Collaborates with providers and community services to ensure quality, cost-effective outcomes
• Coordinates services for physical health, social determinants of health, and additional benefits
• Facilitates communication across the care team, including PCP and care transitions
• Provides relevant resources to families for health and wellness support
• Submits incident reports as required
• Participates in health promotion and community events

Use your skills to make an impact
 

Required Qualifications

• Licensed Registered Nurse (RN) in the state of Louisiana without restrictions
• Minimum two (2) years of clinical experience in maternity, Labor & Delivery, L&D, maternal child
• 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
• Exceptional communication and interpersonal skills with the ability to quickly build rapport
• Ability to work with minimal supervision within the role and scope with the ability to adapt care plan to change in member status

Preferred Qualifications

• Case Management Certification (CCM) or willingness to obtain within two (2) years of employment
• Understanding of the current state Maternal/Child Mortality Morbidity
• Basic Breastfeeding knowledge
• Experience working with Medicare, Medicaid and dual-eligible populations
• Field Case Management Experience 
• Health Plan experience
• Knowledge of community health and social service agencies and additional community resources 
• Experience with health promotion, coaching and wellness
• Motivational Interviewing experience

Work-At-Home Requirements

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is required
• Satellite, cellular and microwave connection can be used only if approved by leadership
• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Workstyle: Combination remote work at home and onsite/home member visits

Hours: Must be able to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs and requires approval.

Travel: Must be willing to travel for field visits to meet with members in your Region, based on member tier level (to be explained during the interview)

Positions available in the following Parishes:

Region 6: Grant, LaSalle, Catahoula, Concordia, Avoyelles, Vernon, Winn, Rapides

Region7: Webster, Claiborne, Caddo, Sabine, Natchitoches, Red River, Bossier, Bienville, Desoto

Region 8: Union, Jackson, Morehouse, West Carroll, East Carroll, Madison, Richland, Tensas, Franklin, Ouachita Lincoln, Caldwell

Driver's License, Transportation, Insurance This role is a part of Humana's Driver Safety program and therefore requires and individual to have a valid state driver's license proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits, and access to a reliable vehicle

Additional Information

Section 1121 of the Louisiana Code of Governmental Ethics states that current or former agency heads or elected officials, board or commission members or public employees of the Louisiana Health Department (LDH) who work directly with LDH’s Medicaid Division cannot be considered for this opportunity. A separation of two (2) or more years from LDH is required for consideration. For more information please visit: Louisiana Board of Ethics (la.gov)

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$71,100 - $97,800 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.

About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.