RN, Field Care Manager – Maternal-Child Health

This is a fully remote position, open to applicants in Louisiana.

📋 Description

• Evaluate and assess the needs and requirements of members to achieve or maintain optimal wellness.

• Direct members and their families towards suitable care and wellbeing resources.

• Oversee members' physical, environmental, and psychosocial health concerns.

• Identify and address obstacles to effective care.

• Involve members and families in recovery and wellness programs through a holistic, member-centric approach.

• Perform both telephonic and in-person assessments.

• Track and assess member progress.

• Create personalized care plans utilizing clinical judgment and changes in health status.

• Work collaboratively with providers and community services to guarantee quality and cost-effective outcomes.

• Coordinate physical health, social determinants of health, and additional benefits.

• Facilitate communication among the care team, including primary care providers and during care transitions.

• Provide health and wellness resources to families.

• Complete incident reports as necessary.

• Take part in health promotion and community events.

• Execute care management activities in compliance with contractual obligations, established guidelines, and directives from the Louisiana Department of Health.

• Conduct face-to-face interactions with members, families, and providers.

• Travel within the designated Louisiana region and participate in community engagement activities and team meetings.

⛳️ Requirements

• Must live in Region 1, 3, or 9 of Southern Louisiana, which includes Assumption, Jefferson, Lafourche, Livingston, Orleans, Plaquemines, St. Bernard, St. Charles, St. Helena, St. James, St. John, St. Mary, St. Tammany, Tangipahoa, Terrebonne, or Washington parishes.

• Current, unrestricted Louisiana Registered Nurse (RN) license.

• A minimum of two years of clinical experience in maternal-child health, Labor & Delivery (L&D), and/or pediatrics.

• Intermediate to advanced proficiency in computer skills.

• Experience using Microsoft Word, Outlook, and Excel.

• Capability to utilize electronic information applications/software, including electronic medical records.

• Excellent communication and interpersonal abilities.

• Capacity to work independently with minimal supervision and demonstrate sound judgment.

• Case Management Certification (CCM) or a commitment to obtain it within two years of employment.

• Knowledge of current state Maternal/Child Mortality Morbidity.

• Basic understanding of breastfeeding.

• Experience with Medicare, Medicaid, and dual-eligible populations.

• Field Case Management experience.

• Experience in Managed Care Health Plans.

• Familiarity with community health and social service agencies and resources.

• Background in health promotion, coaching, and wellness.

• Experience with Motivational Interviewing.

• Must meet home internet speed requirements of at least 25 Mbps download and 10 Mbps upload.

• Must work from a designated area to safeguard member PHI/HIPAA information.

🏝️ Benefits

• Bonus incentive plan based on company and/or individual performance.

• Medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance.

• Mileage reimbursement for work-related travel.

• Remote home office when not performing community or member visits.

• Occasional travel to Humana offices for training or meetings.