Maternity Care Management Field Nurse

Humana•Ruston, LA

3d•Hybrid

About The Position

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

Requirements

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
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
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.
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)
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

Nice To Haves

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

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

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.

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