Humana · 1 month ago
RN, Field Care Manager(Maternal-Child Health) - Roanoke/Alleghany, Virginia
Humana is seeking a RN, Field Care Manager Nurse 2 (Maternal-Health) to assess and evaluate high acuity members' needs to achieve optimal wellness. The role involves creating individualized care plans and collaborating with various providers to ensure effective care for pregnant and postpartum members.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Responsible for health risk assessments along the continuum of care for members
Assesses members, creates individualized care plans, and attends interdisciplinary care team meetings
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
Ensures members are progressing towards desired outcomes by continuously monitoring their care through assessments and/or evaluations
Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas
Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed
Collaborates with internal and external providers or departments to meet the member’s needs
Meets requirements for contractual and regulatory compliance
Follows established guidelines/procedures
Qualification
Required
Must reside in the central to northern Roanoke/Alleghany Region in the Commonwealth of Virginia in the counties/independent cities of Giles, Montgomery, Roanoke, Salem, Bedford, Craig, Botetourt, Covington, Alleghany, Rockbridge, Buena Vista, Lexington, Bath and Highland
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
Minimum one (1) year of acute care experience working in obstetrics, women's care, labor and delivery, mother, baby, NICU and/or clinical triage
Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel
Knowledge of community health and social service agencies and additional community resources
Exceptional oral and written communication and interpersonal skills with the ability to quickly build rapport
Ability to work with minimal supervision within the role and scope
Ability to use a variety of electronic information applications/software programs including electronic medical records
Excellent keyboard and web navigation skills
Ability to travel to region-based facilities and homes for face-to-face assessments
Preferred
Bachelor's of Science in Nursing (BSN)
3-5 years of in-home assessment and care coordination experience
Lactation experience, preferably as a certified lactation consultant
Experience with health promotion, coaching and wellness
Previous managed care experience
Certification in Case Management (CCM)
Motivational Interviewing Certification and/or knowledge
Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations or 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
Many other opportunities
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
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
Recent News
2026-01-09
2026-01-07
2026-01-06
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