Humana · 2 months ago
RN, Field Care Manager
Blacksburg, VA
Full-time
Hybrid
Entry, Mid Level
$71K/yr - $98K/yr
2+ years expHumana is committed to putting health first and is seeking RN, Field Care Managers in Virginia. The role involves conducting assessments for adult and pediatric members, managing care plans, and collaborating with interdisciplinary teams to ensure optimal health outcomes for members.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Responsible for managing a case load and completing assessments with members in their home or community-based setting, as well as telephonically
Provides clinical support and guidance, particularly for members with medical complexity
Develops and coordinates care plans ensuring that patients receive appropriate services to manage their health needs effectively
Addresses barriers to health care and advocating for optimal member outcomes
Reviews, assesses, and completes medical complexity attestations and clinical oversights
Ensures members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs
Develops and modifies Individual Care Plan and involve applicable members of the care team in care planning (Informal caregiver, coach, PCP, etc.)
Focuses on supporting members and/or caregivers utilizing an interdisciplinary approach in accessing social, housing, educational and other services, regardless of funding sources to meet their needs
Collaborates with Community Health Workers (CHW), Housing Specialist and other internal and external agencies for health-related social needs (HRSN)
Primary point of contact for the interdisciplinary care team (ICT and shall be responsible for coordinating with the member, ICT participants, and outside resources to ensure the member’s needs are met
Qualification
Required
Applicants must reside in one of the following counties or independent cities: Roanoke, Salem, Montgomery, Craig, Botetourt, Bedford, or Franklin
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
One (1) year of experience working directly with individuals who meet the Cardinal Care Priority Population criteria (adults, pediatrics populations at risk for chronic medical conditions and high social needs)
Strong advocate and respect for members at all levels of care
Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook
Ability to use a variety of electronic information applications/software programs including electronic medical records
Exceptional oral and written communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders
Ability to work with minimal supervision within the role and scope
Ability to work a full-time schedule
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families
This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher
Preferred
Prior experience with Medicare, Medicaid and dual eligible populations
Bachelor's Degree Nursing (BSN)
Case Management Certification (CCM)
Experience with health promotion, coaching and wellness
Knowledge of community health and social service agencies and additional community resources
Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance
Benefits
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
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-09
2026-01-07
2026-01-06
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