Maternity Care Management Field Nurse

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.

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. 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. In this role you will report to the Manager of Care Management and be part of the Medicaid Maternity team. Workstyle: Combination remote work at home and onsite/home member visits Hours: 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. Screening: 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.

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