RN Pediatric Full-time
Humana

RN, Field Care Manager (Adults and Pediatrics)

Humana VA, US
$71,100 - $97,800 / year
Apply Now

Become a part of our caring community and help us put health first

 

Humana Healthy Horizons in Virginia is looking for RN, Field Care Managers (Field Care Manager Nurse 2) who performs primarily face to face and telephonic assessments to adult and pediatric members. The RN, Field Care Manager (Field Care Manager Nurse 2) will evaluate member's needs to achieve and/or maintain optimal wellness. This position employs a variety of strategies, approaches, and techniques to manage a member's health issues and identifies and resolves barriers that hinder effective care. They ensure members are progressing towards desired outcomes by continuously monitoring care through use of assessment, data, conversations with member, and active care planning. The RN, Field Care Manager (Field Care Manager, Nurse 2) understands professional concepts, regulations, strategies, and operating standards. They make decisions regarding work approach/priorities and follows direction.

  • 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 HRSN needs.
  • Primary point of contact for the ICT and shall be responsible for coordinating with the member, ICT participants, and outside resources to ensure the member’s needs are met.

Use your skills to make an impact

 

Required Qualifications

  • Must reside in the Commonwealth of Northern Virginia
  • 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.

Preferred Qualifications

  • 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. See “Additional Information” section for more information. 

Additional Information

  • Workstyle: Field - This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.
  • Travel: 50 - 75% field interactions with members, and their families and providers. May need to attend onsite meetings occasionally in Humana Healthy Horizons office in Glen Allen, VA.
  • Workdays and Hours: Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST).
  • Language Assessment Statement: 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.

WAH Internet Statement

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

Satellite, cellular and microwave connection can be used only if approved by leadership.

Humana will provide Home or Hybrid Home/Office employees 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.

SSN Alert Statement

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

TB 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.

Driving Statement

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.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

 

$71,100 - $97,800 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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN Outpatient Pediatric Full-time
VCU Health

Ambulatory Divisional Registered Nurse - Children's Pavilion Pediatric Urology - Full Time - Days

VCU Health Richmond, VA
The Ambulatory Divisional Registered Nurse provides, develops, coordinates, and manages clinical duties related to the specific service line division. This job will support clinical care across multiple outpatient locations, requiring interdisciplinary partnership with multiple providers within the division. The position collaborates with Ambulatory Leadership, Division Chair, Medical Director, in the development and management of processes to provide safe, timely ambulatory care needs. The Ambulatory Divisional Registered Nurse will have a working knowledge of outpatient management of patients within a specialty division, including general medical, complex medical, pre-operative and post-operative care. Essential Job Statements Follows documented physician/licensed provider orders, within the boundaries of the Nurse Practice Act, licensure, and established standards, policies, and practice guidelines. Triages patient calls and in basket messages in accordance with ambulatory and division specific standards. Facilitates training as needed to improve the specialty knowledge base across all ambulatory clinic locations. Partners with care team to complete chart prep for return visits; reviews records (lab work, imaging, diagnostic reports) prior to patient visit. Completes necessary new patient referrals, ensures outside records are available, performs chart review/prep to ensure patients are scheduled into the correct clinic. Provides disease and procedure-specific education to patients in clinic. Creates educational materials to support commonly encountered topics within division. May assist providers during clinical procedures across the division. Partners with providers, Assistant Clinical Manager, Program Coordinators, and Nurse Navigators to ensure continuity of care across clinic sites for division patients with expertise in service, preoperative, postoperative, and medical management to specific patient populations. Performs multi-site nursing visits as directed by providers to include education, treatments, or assessments. Supports prior authorization requirements specific to emergent / same day prior authorizations and denial appeals. Partners with Assistant Clinical Manager and clinic nursing staff to aid providers in obtaining clinic testing and treatment. Consistently monitors patient satisfaction and customer feedback, taking prompt action on issues striving for service excellence. Serves as a nursing clinical role model and division subject matter expert for management of ambulatory patients across multiple sites. Seeks collaborative relationships that can lead to effective partnerships in research, evidence based practice or process improvement. Contributes to revising and developing clinical practice and/or nursing care guidelines for specific patient populations using current best evidence and shares the synthesis of current best evidence at the department/division level . Takes appropriate actions to enhance positive outcomes, even in the most challenging situations. Anticipates needs to provide quality and efficient care for patients. Maintains professional growth and development in specialty through ongoing process of formal and informal education and training. Performs other duties as assigned and/or participates in special projects in order to support the mission of VCUHS and the division. Accepts alternate assignments as required. Patient Population: Demonstrates the knowledge and skills necessary to provide equitable care appropriate to the age of the patients served on their assigned unit. Demonstrates knowledge and related competencies of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to their age, specific needs and to provide the equitable care needed as described in departmental policies and procedures. Neonates (0-4 weeks), Infant (1-12 months), Pediatrics (1-12 years), Adolescents (13-17 years), Adults (18-64 years), Geriatrics (65 years and older) Employment Qualifications Required Education: Bachelor’s degree in nursing from an accredited program Preferred Education: Master’s degree in nursing from an accredited program. Licensing/ Certification Licensure/Certification Required: Current Registered Nurse license, BLS Certification. Licensure/Certification Preferred: Nursing specialty board certification preferred. Minimum Qualifications Years and Type of Required Experience: Minimum 3 years of nursing experience required. 1-2 years preferred experience in the designated pediatric or adult division. Other Knowledge, Skills and Abilities Required: Strong communication and time management skills. Ability to set priorities, make timely decisions, and meet multiple deadlines. Ability to work collaboratively within a large complex, fast-paced environment. Other Knowledge, Skills and Abilities Preferred: N/A Working Conditions: Periods of high stress and fluctuating workloads may occur. General office environment. May be exposed to physical altercations and verbal abuse. Required to car travel to off-site locations, occasionally in adverse weather conditions. Other: Travel between clinic sites is required. Long-distance or air travel as needed- not to exceed 10% travel. May be exposed to high noise levels. May be exposed to limited hazardous substances or body fluids. * May be exposed to human blood and other potentially infectious materials. * May have periods of constant interruptions. Prolonged periods of working alone. * Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control. Physical Requirements Physical Demands: Lifting/ Carrying (0-50 lbs.), Push/ Pull (50-100 lbs.), Stoop, Kneel, Squat, Climbing, Balance, Bending Work Position: Sitting, Walking, Standing Additional Physical Requirements/ Hazards Physical Requirements: Manual dexterity (eye/hand coordination), Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Color Vision Hazards: Depth perception, Exposure to toxic/caustic/chemicals/detergents, Exposure to moving mechanical parts, Exposure to dust/fumes Mental/Sensory – Emotional Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking Emotional: Fast pace environment, Steady Pace, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Noisy Environment, Able to Adapt to Frequent Change Days EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
RN Pediatric Full-time
VCU Health

Pediatric CIT Nurse Navigator

VCU Health Richmond, VA
**$10,000 Sign On Bonus for offers accepted by March 31, 2026. Terms and Conditions apply** The Nurse Patient Navigator functions as a Nurse Patient Navigator and serves as an advocate, interpreter, educator and counselor for a group of patients. The Nurse Patient Navigator manages the care of assigned patients in collaboration with a multidisciplinary team to ensure high quality and comprehensive healthcare and ancillary services. The Nurse Patient Navigator serves as the single point of contact to assigned patients and caregivers. The Nurse Patient Navigator remains a support system to patients and caregivers throughout the patient’s treatment. The Nurse Patient Navigator uses clinical/nursing knowledge and skills in the performance of job responsibilities. Licensure, Certification, or Registration Requirements for Hire: Current RN licensure in Virginia or eligible or compact state Licensure, Certification, or Registration Requirements for continued employment: Current RN licensure in Virginia AHA BLS Certification Specialty Nursing Certification in either Nurse Navigation or area of specialty within one year of hire in position Experience REQUIRED: Minimum of three (3) years of relevant clinical experience in nursing, patient education; case management and/or navigation Previous experience in specialty area Experience PREFERRED: Previous nurse navigation or leadership experience Experience within an academic, teaching hospital Education/training REQUIRED: Baccalaureate Degree in Nursing from an accredited School of Nursing Education/training PREFERRED: Master’ Degree in Nursing from an accredited School of Nursing Independent action(s) required: Follows documented physician/licensed independent provider medical/treatment orders. Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia. Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards. All practice is guided by and follows the VCUHS policies and procedures and established practice guidelines. Organizes and plans work with input from the patient/family with specific outcomes identified. Demonstrates use of sound clinical judgment based on nursing knowledge/experience. Supervisory responsibilities (if applicable): N/A Additional position requirements: Positions are primarily weekday work but may be expected to work into the evening or on the weekend, depending on assignment. May be required to go to all VCUHS locations. Age Specific groups served: As appropriate based on unit assignment Physical Requirements (includes use of assistance devices as appropriate): Physical - Lifting less than 20 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive): Repetitive motion Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
RN Pediatric Full-time
Children's Hospital of The King's Daughters

Office RN

Children's Hospital of The King's Daughters Norfolk, VA
Summary GENERAL SUMMARY The Office RN performs a wide variety of patient care activities and accommodative services to support the medical practice. Reports to Practice Manager/Supervisor and works in close cooperation with and under the clinical guidance of the practice physician(s). ESSENTIAL DUTIES AND RESPONSIBILITIES Demonstrates excellence in nursing practice characterized by quality patient care and participation in formal and informal patient and staff education. Provides developmentally appropriate psychosocial and clinical care. Performs other duties as assigned. LICENSES AND/OR CERTIFICATIONS Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State license. MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS Professional knowledge of nursing theory and practice at a level normally acquired through the completion of an accredited School of Nursing. Pediatric experience preferred. CPR Training required and/or must be obtained within 45 days of hire. Must provide record of a completed diploma (or equivalent) or academic transcript for those areas performing complexity testing. WORKING CONDITIONS Normal patient care environment with little exposure to excessive noise, dust, temperature and the like. Frequent exposure to communicable disease and moderately adverse working conditions due to performance of certain patient care activities. PHYSICAL REQUIREMENTS Click here to view physical requirements. Discover Competitive Pay And Excellent Benefits At CHKD, we offer a competitive salary and a comprehensive benefits package designed to support your personal and professional well-being. Benefits include medical, dental, disability insurance, matching 401(k), generous paid time off, and continuing education support. CHKDHS Health Plans provide $0 cost benefits at CHKDHS Affiliated Providers and Facilities for most covered services for covered dependent children. CHKD is committed to investing in your growth and long-term career success. Learn More About CHKD Benefits. JOIN A TEAM WHO CARES CHKD Health System is committed to fostering a "Culture of Excellence" for its patients, families, and colleagues. Throughout the organization, we promote collaboration, engagement, and empathy among team members, creating a kind, supportive, and safe workplace environment where employees want to spend their careers. At CHKD, it is our goal to create an atmosphere where every team member feels valued, heard, supported, and included. Learn more about life at CHKD. ENJOY LIFE ON THE EAST COAST CHKD Health System is headquartered in Coastal Virginia, a region known for excellent schools, waterfront living, and family-friendly communities. Enjoy outdoor recreation such as boating, kayaking, and hiking, along with concerts, sporting events, and nearby amusement parks. With convenient access to Norfolk International Airport and Amtrak, weekend trips to Washington, D.C., the Outer Banks, or the Blue Ridge Mountains are easily within reach. CONTACT OUR TEAM For more information about this position, email TalentTeam@CHKD.org . Additional Information CHKDHS is an Equal Opportunity Employer. Equal Employment Opportunity is the Law - click here for more information Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, gender identity, national origin, sexual orientation, veteran status, or any other status protected by federal, state, or local law. If assistance is needed, please reach out to us at TalentTeam@chkd.org
RN Pediatric Full-time
Children's Hospital of The King's Daughters

Office RN

Children's Hospital of The King's Daughters Norfolk, VA
Summary GENERAL SUMMARY The Office RN performs a wide variety of patient care activities and accommodative services to support the medical practice. Reports to Practice Manager/Supervisor and works in close cooperation with and under the clinical guidance of the practice physician(s). ESSENTIAL DUTIES AND RESPONSIBILITIES Demonstrates excellence in nursing practice characterized by quality patient care and participation in formal and informal patient and staff education. Provides developmentally appropriate psychosocial and clinical care. Performs other duties as assigned. LICENSES AND/OR CERTIFICATIONS Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State license. MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS Professional knowledge of nursing theory and practice at a level normally acquired through the completion of an accredited School of Nursing. Pediatric experience preferred. CPR Training required and/or must be obtained within 45 days of hire. Must provide record of a completed diploma (or equivalent) or academic transcript for those areas performing complexity testing. WORKING CONDITIONS Normal patient care environment with little exposure to excessive noise, dust, temperature and the like. Frequent exposure to communicable disease and moderately adverse working conditions due to performance of certain patient care activities. PHYSICAL REQUIREMENTS Click here to view physical requirements. Discover Competitive Pay And Excellent Benefits At CHKD, we offer a competitive salary and a comprehensive benefits package designed to support your personal and professional well-being. Benefits include medical, dental, disability insurance, matching 401(k), generous paid time off, and continuing education support. CHKDHS Health Plans provide $0 cost benefits at CHKDHS Affiliated Providers and Facilities for most covered services for covered dependent children. CHKD is committed to investing in your growth and long-term career success. Learn More About CHKD Benefits. JOIN A TEAM WHO CARES CHKD Health System is committed to fostering a "Culture of Excellence" for its patients, families, and colleagues. Throughout the organization, we promote collaboration, engagement, and empathy among team members, creating a kind, supportive, and safe workplace environment where employees want to spend their careers. At CHKD, it is our goal to create an atmosphere where every team member feels valued, heard, supported, and included. Learn more about life at CHKD. ENJOY LIFE ON THE EAST COAST CHKD Health System is headquartered in Coastal Virginia, a region known for excellent schools, waterfront living, and family-friendly communities. Enjoy outdoor recreation such as boating, kayaking, and hiking, along with concerts, sporting events, and nearby amusement parks. With convenient access to Norfolk International Airport and Amtrak, weekend trips to Washington, D.C., the Outer Banks, or the Blue Ridge Mountains are easily within reach. CONTACT OUR TEAM For more information about this position, email TalentTeam@CHKD.org . Additional Information CHKDHS is an Equal Opportunity Employer. Equal Employment Opportunity is the Law - click here for more information Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, gender identity, national origin, sexual orientation, veteran status, or any other status protected by federal, state, or local law. If assistance is needed, please reach out to us at TalentTeam@chkd.org
RN Pediatric Full-time
Children's Hospital of The King's Daughters

Office RN

Children's Hospital of The King's Daughters Norfolk, VA
Summary GENERAL SUMMARY The Office RN performs a wide variety of patient care activities and accommodative services to support the medical practice. Reports to Practice Manager/Supervisor and works in close cooperation with and under the clinical guidance of the practice physician(s). ESSENTIAL DUTIES AND RESPONSIBILITIES Demonstrates excellence in nursing practice characterized by quality patient care and participation in formal and informal patient and staff education. Provides developmentally appropriate psychosocial and clinical care. Performs other duties as assigned. LICENSES AND/OR CERTIFICATIONS Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State license. MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS Professional knowledge of nursing theory and practice at a level normally acquired through the completion of an accredited School of Nursing. Pediatric experience preferred. CPR Training required and/or must be obtained within 45 days of hire. Must provide record of a completed diploma (or equivalent) or academic transcript for those areas performing complexity testing. WORKING CONDITIONS Normal patient care environment with little exposure to excessive noise, dust, temperature and the like. Frequent exposure to communicable disease and moderately adverse working conditions due to performance of certain patient care activities. PHYSICAL REQUIREMENTS Click here to view physical requirements. Discover Competitive Pay And Excellent Benefits At CHKD, we offer a competitive salary and a comprehensive benefits package designed to support your personal and professional well-being. Benefits include medical, dental, disability insurance, matching 401(k), generous paid time off, and continuing education support. CHKDHS Health Plans provide $0 cost benefits at CHKDHS Affiliated Providers and Facilities for most covered services for covered dependent children. CHKD is committed to investing in your growth and long-term career success. Learn More About CHKD Benefits. JOIN A TEAM WHO CARES CHKD Health System is committed to fostering a "Culture of Excellence" for its patients, families, and colleagues. Throughout the organization, we promote collaboration, engagement, and empathy among team members, creating a kind, supportive, and safe workplace environment where employees want to spend their careers. At CHKD, it is our goal to create an atmosphere where every team member feels valued, heard, supported, and included. Learn more about life at CHKD. ENJOY LIFE ON THE EAST COAST CHKD Health System is headquartered in Coastal Virginia, a region known for excellent schools, waterfront living, and family-friendly communities. Enjoy outdoor recreation such as boating, kayaking, and hiking, along with concerts, sporting events, and nearby amusement parks. With convenient access to Norfolk International Airport and Amtrak, weekend trips to Washington, D.C., the Outer Banks, or the Blue Ridge Mountains are easily within reach. CONTACT OUR TEAM For more information about this position, email TalentTeam@CHKD.org . Additional Information CHKDHS is an Equal Opportunity Employer. Equal Employment Opportunity is the Law - click here for more information Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, gender identity, national origin, sexual orientation, veteran status, or any other status protected by federal, state, or local law. If assistance is needed, please reach out to us at TalentTeam@chkd.org