Maternity FCM Registered Nurse

The Field Care Manager 2 employs a variety of strategies, approaches, and techniques to manage health and well-being concerns of Medicaid enrollees from an integrated Medical and Behavioral Health approach with added focus on addressing social determinants of health. An associate in this role Identifies and resolves barriers that hinder effective care while using the support and resources of the Humana Medicaid Interdisciplinary Care Team and the enrollee's multi-disciplinary team.

The Field Care Manager 2, through regular face to face and telephonic contact, active assessment and individualized care planning proactively assists in helping enrollees meet health, well-being and social determinant of health goals.

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. Follows established guidelines/procedures.


Use your skills to make an impact


Required Qualifications

• Active Registered Nurse License in the state of Kentucky without disciplinary action.
• 2 years varied experience in maternal child health, (mom/baby, obstetrics, L&D, NICU,).
• Exceptional 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.
• Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
• Excellent keyboard and web navigation skills.

Humana's Driver Safety program

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

Tuberculosis (TB) Screening Program

• This role is considered patient facing and is part of Humana At Home's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Work at Home Guidance 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 suggested
• 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

Additional Information / Adherence

Workstyle: Field

Location:

• Northern - Covington, Florence, Fort Mitchell, Glasgow, Maysville,
• Southern - Bowling Green, Cadiz, Campbellsville, Cave City, Cerulean, Cumberland, Danville, Fort Campbell, Harlan, Herndon, Hopkinsville, Lafayette, Loyall, Owensboro, Oak Grove, Williamsburg
• Eastern - Pikeville, Ashland, London, Morehead, Prestonburg
• Western - Gracey, Mayfield, Paducah, West Paducah,

Schedule:

• Monday - Friday 8:00 AM - 5:00 PM Eastern Time
• No weekends, holidays
• Option for 4 10s after 6 months with leader and business approval.

Travel:

• Ability to travel to member's residence within 30 to 40 miles one time weekly and may vary based on member and/or business needs.
• Community engagement events.
• Quarterly market office meetings.

Preferred Qualifications

• BSN.
• 2 years of experience of in-home case/care management.
• Knowledge of community health and social service agencies and additional community resources, including health promotion, coaching, and wellness.
• Previous managed care experience.
• Bilingual - English, Spanish.
• Certification in Case Management.
• Motivational Interviewing Certification and/or knowledge.

Additional Information

Bilingual Language Assessment

Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government

Social Security Task:
Alert: Humana values personal identity protection. Please be aware that applicants being considered for the position will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

Virtual Pre-Screen:

As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a Modern Hire interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes.

Humana offers industry leading benefits for all employees. Benefits include:

Medical, Dental, Vision.
Health and Childcare Savings Accounts.
Flex Spending Accounts.
Life Insurance.
401K / Roth.
Education Reimbursement.
23 days Paid Time off accrual.

8 paid holidays.

Volunteer Time Off, VTO.

parental leave, caregiving leave, and weekly well-being time, and more!

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.

$69,800 - $96,200 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.

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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.