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Management Jobs
Full Time
4/1/2025
Somerset, KY 42501
(44.1 miles)
Manager Registered Nurse (RN)Rehabilitation and Special Care UnitFull TimePOSITION SUMMARY:Manages the daily operations of the assigned department or function to ensure alignment with departmental and organizational objectives.Education:Bachelor's Degree in related field preferredApplicable work experience may be used in lieu of educationCertifications: BLSLicenses: Applicants should have a current state RN license or a current multistate compact license and possess a bachelor’s degree from an accredited nursing school.Connect with our RN recruiting specialistNot ready to complete an application, or have questions Please contactMelissa Taylor bytexting,callingorschedule a time and date that works for you byclicking the link below.https://bit.ly/MTaylorNurseRecruiterLCRHWhat we offerFundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers:$15,000 Commitment-incentive bonus (days)Weekend differentialComprehensive medical, dental, and vision plans, plus flexible-spending and health- savings accountsCompetitive paid time off and extended illness bank package for full-time employeesIncome-protection programs, such as life, accident, critical-injury insurance, short- and long-term disability, and identity theft coverageTuition reimbursement, loan assistance, and 401(k) matchingEmployee assistance program including mental, physical, and financial wellnessProfessional development and growth opportunitiesThe link below was designed to clearly display Lifepoint’s core values and mission while also showing potential benefit offerings. After opening the link, scroll down and click each box for additional benefit information.https://lifepointbenefithighlights.com/ESSENTIAL FUNCTIONS:To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.Assists with developing specific departmental goals, standards, and objectives which directly support the strategic plan and vision of the organization.Manages staff relations including performance management, staff satisfaction, and conflict management. Performs and oversees scheduling, staff development, recruitment, payroll, and student engagements.Monitors departmental budgets, regulatory compliance, departmental contracts, and vendor relations. Determines and justifies needs for systems/equipment/supplies purchases, monitors usage, and oversees proper working order and/or stock supplies.Assesses the quality of patient care delivered and coordinates patient care services with patients, staff, physicians, and other departments. May provide patient care when necessary.Creates and fosters an environment that encourages professional growth.Integrates evidence-based practices into operations and clinical protocols.Regular and reliable attendance.Perform other duties as assigned.Additional Information:Position serves both internal co-workers and external customers, clients, patients, contractors, and vendors.Access to and/or works with sensitive and/or confidential information.Exhibit a comprehensive understanding of healthcare regulatory and compliance (e.g., HIPAA). Skilled in the application of policies and procedures. Knowledge of Business Office Standards and Recommended Practices.SUPERVISORY RESPONSIBILITIES:Manage the work of others, including planning, assigning, scheduling and reviewing work, ensures quality standards. Responsible for hiring, terminating, training and developing, reviewing performance and administering corrective action for staff.KNOWLEDGE, SKILLS & ABILITIES:The requirements listed below are representative of the knowledge, skills and/or abilities required.Business Mathematical Skills -- Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages and to draw and interpret graphs.Moderate Computer Skills -- Frequent use of electronic mail, word processing, data entry, spreadsheets, graphics, etc. Ability to create, maintain and incorporate simple functions into documents, spreadsheets, databases, and presentations to support business objectives.Complex Communication -- Frequently communicates complex information and interacts with management. Can present, resolve, and address delicate situations. Can motivate and persuade others.Varied Business Problems --Problems are varied and complex, requiring analysis or interpretation of the situation. Problems are solved using knowledge and skills, general precedent, and practices.Department Specific -- Decisions impact the management and operations within a department. May contribute to business, and operational decisions that affect the department.Functional Independent Judgement -- Provides and sets goals and priorities for functional area. May make recommendations for department policies, practices, and programs. Makes decisions for and/or resolves problems for others.Project Planning/Organization -- Handle multiple projects simultaneously including task delegation, project over-sight, and resource allocation.PHYSICAL AND MENTAL DEMANDS:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 20 pounds. Repetitive motion of upper body required for extended use of computer. Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.WORK ENVIRONMENT AND TRAVEL REQUIREMENTS:Work environment characteristics described here are representative of those that an employee may encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.Works in well-lit, ventilated and climate-controlled office environment with routine office equipment; some equipment has moving mechanical parts.In hospital environment, may be exposed to hazards and unusual elements, which may include but are not limited to bloodborne pathogens and / or contagious illnesses, toxic chemicals, and biohazardous materials which may require extensive safety precautions and the use of protective equipment.Noise level in the work environment is typical for an office and/or hospital environment.Minimum overnight travel (up to 10%) by land and/or air.
Full Time
3/25/2025
Irvine, KY 40336
(39.7 miles)
Nurse Manager Career OpportunityFull-Time availability Leading with Heart: Your Journey Starts HereSeeking a career that's both personally enriching and professionally rewarding, close to home Encompass Health invites you into a welcoming space that feels like family, where your worth is embraced, fostering connections akin to lifelong friendships. As a Nurse Manager, envision making a profound impact within your community by providing essential care and guidance throughout patients' rehabilitation journeys. Your role is critical, offering leadership ensuring seamless implementation of procedures while delivering top-tier, compassionate, and tailored care. Embrace a team-driven, supportive environment that embraces joy in their work, providing access to cutting-edge technology and comprehensive benefits from day one. Join us and discover a career where your leadership shapes impactful care and personal fulfillment. A Glimpse into Our WorldWe're confident you'll feel the difference the moment you join our team. Being at Encompass Health means being associated with a growing national inpatient rehabilitation leader. We take pride in our career growth opportunities and the collaborative spirit of our team members, all united for the greater good of our patients. Our achievements, including being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, make us immensely proud. Benefits That Begin With YouOur benefits are designed to support your well-being and start on day one:Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.Generous paid time off that accrues over time.Tuition reimbursement and continuous education opportunities for your professional growth.Company-matching 401(k) and employee stock purchase plans, securing your financial future.Flexible spending and health savings accounts tailored to your unique needs.A vibrant community of individuals who are passionate about what they do. Be the Nurse Manager You've Always Aspired to BeYour impactful journey involves:Supervises the provision of nursing care, treatment, and services on assigned shift or unit.Ensures all patient care activities are completed as required.Assigns the appropriate nursing personnel necessary to provide care and ensures their presence.• Identifies training needs and resources for staff with other organizational leaders.Celebrating patient victories along the way. QualificationsCurrent RN licensure as required by state regulations.BLS certification with ACLS certification to be obtained within one year of starting position.CRRN certification to be obtained within a year of meeting the eligibility requirements.Bachelor's Degree in Nursing or related field preferred.Two years of recent experience in an inpatient hospital setting (within the last five years).Previous leadership role, such as charge nurse or lead capacity, where you were responsible for interim reporting, issue resolution, setting direction, and having accountability for patient and staff results.The Encompass Health WayWe proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.We're looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!
Full Time
4/7/2025
Middlesboro, KY 40965
(36.8 miles)
Become a part of our caring community and help us put health firstHumana Healthy Horizons in Virginia is seeking RN, Field Care Managers (Field Care Manager Nurse 2) to perform telephonic and face-to-face assessments and evaluations of the needs and requirements of our long-term services and support (LTSS) and aged, blind and disabled (ABD)member population. The RN, Field Care Manager supports achieving and/or maintaining optimal wellness by guiding members/families toward and facilitating interaction with resources appropriate for the care and well-being of members. They work assignments that are varied and frequently require interpretation and independent determination of the appropriate courses of action.This role involves meeting members in the field at their home or location of the member’s choice, spending quality time assessing their goals, needs and barriers andthen connectingour members with quality services to promote their ultimate well-being and drive person centered health outcomes.Reviews, analyzes, assesses, and attests for medical complexity.Develops member individualized care plans.Employs a variety of evidence-based strategies, approaches, and techniques to manage a member's physical, environmental, and psychosocial health. Identifies and resolves barriers that hinder effective care. Ensures member is progressing towards desired outcomes by continuously monitoring member care through comprehensive assessments and/or evaluations. Makes autonomous decisions, occasionally in ambiguous situations. Requires minimal direction and receives guidance where needed. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.Follows established guidelines/procedures.Use your skills to make an impact Required QualificationsMust reside in the Commonwealth of Virginia or within a 20-mile radius from Virginia in a bordering state/district (Washington DC, MD, WV, KY, TN & NC).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 with individuals who meet the Cardinal Care Priority Population criteria (adult and pediatric populations at risk for chronic medical conditions & high social needs).Knowledge of community health and social service agencies and additional community resources.Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel.Ability to use a variety of electronic information applications/software programs including electronic medical records.Excellent keyboard and web navigation skills.Exceptional communication and interpersonal skills with the ability to quickly build rapport.Ability to work with minimal supervision.Ability to work a full-time schedule.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.Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families.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.Preferred QualificationsBachelor of Science in Nursing (BSN).Certification in Case Management (CCM).Previous managed care experience.Motivational Interviewing Certification and/or knowledge.3-5 years of in-home assessment and care coordination experience.Experience with disease management, health promotion, coaching and wellness.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 InformationWorkstyle: 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 StatementTo 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.Interview FormatAs part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.#EVScheduled Weekly Hours40Pay RangeThe 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 yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, 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 usHumana 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 EmployerIt 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 veteran status. 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.
Full Time
4/4/2025
Somerset, KY 42501
(44.1 miles)
Physical Therapist - Clinic ManagerGet your career – and your patients – moving.As a Clinic Manager, you’ll have access to industry-leading programs and treatments and a team as innovative and passionate as you are. If you’re looking for the autonomy to build and grow your own clinic, now's the time to think CORA.Our ideal candidate has proven leadership skills and the desire to take their career to the next level. This is a full-time position.Who We Are: CORA Physical Therapyprovides a full range of outpatient services for clients with orthopedic problems, work-related injuries, sport injuries, and neuromuscular and neurological conditions. Our community is built on the passion and experience of clinicians who embrace our commitment to Treating Everyone Right.What You’ll Love About Us:·Competitive Pay·7 paid annual holidays + 3 weeks PTO that grows with time·Medical, dental, vision, disability, and life insurance ·Retirement & savings plan·Unlimited internal CEUs + Annual external CEU stipend·MedBridge subscription + APTA membership reimbursement·Leadership development programs: coaching, mentorship, and skill-building activities·Professional development opportunities including advanced certifications and Orthopedic Residency·Student Loan Assistance Program (up to $24K) for Eligible Locations·Potential relocation assistance·Tuition reimbursementWhat You’ll Need:·Diploma from a CAPTE-approved Physical Therapy program·Physical Therapy State License (or in process)·At least one year of experience as a Physical Therapist·Dedication to providing exceptional quality of care to each of your patientsWhat You’ll Do:This role is 85% clinical and 15% non-clinical.·Make a powerful impact on your local community through inclusive physical therapy treatment·Develop and deliver a personalized plan of care for your patients -- a diverse patient population with both orthopedic and neurologic diagnoses ·Objectively measure patient outcomes using cutting-edge software·Efficiently document evaluations, treatments, re-evaluations, and discharge notes·Actively pursue professional growth through professional affiliations, workshop attendance, conferences, and community events·Manage the daily operations of your clinic·Financial, administrative + personnel managementCORA Physical Therapy is an Equal Opportunity/Affirmative Action employer. We are committed to building a team that represents a variety of backgrounds, experiences, and perspectives.
Full Time
3/25/2025
Irvine, KY 40336
(39.7 miles)
Cardinal Hill Rehabilitation Hospital Nurse Supervisor Full Time and Part Time Nights Nurse Supervisor Career Opportunity Leading with Heart: Your Journey Starts HereSeeking a career that's both personally enriching and professionally rewarding, close to home Encompass Health invites you into a welcoming space that feels like family, where your worth is embraced, fostering connections akin to lifelong friendships. As a Nurse Supervisor, envision making a profound impact within your community by providing essential care and guidance throughout patients' rehabilitation journeys. Your role is critical, offering leadership ensuring seamless implementation of procedures while delivering top-tier, compassionate, and tailored care. Embrace a team-driven, supportive environment that embraces joy in their work, providing access to cutting-edge technology and comprehensive benefits from day one. Join us and discover a career where your leadership shapes impactful care and personal fulfillment. A Glimpse into Our WorldWe're confident you'll feel the difference the moment you join our team. Being at Encompass Health means being associated with a growing national inpatient rehabilitation leader. We take pride in our career growth opportunities and the collaborative spirit of our team members, all united for the greater good of our patients. Our achievements, including being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, make us immensely proud. Benefits That Begin With YouOur benefits are designed to support your well-being and start on day one:Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.Generous paid time off that accrues over time.Tuition reimbursement and continuous education opportunities for your professional growth.Company-matching 401(k) and employee stock purchase plans, securing your financial future.Flexible spending and health savings accounts tailored to your unique needs.A vibrant community of individuals who are passionate about what they do. Be the Nurse Supervisor You've Always Aspired to BeYour impactful journey involves:Assisting in the development and implementation of personalized patient care programs, policies, and procedures.Serving as the crucial liaison between administration, nursing management, and staff.Supervising nursing care, treatment, and services provided during assigned shifts or on a specific unit.Monitoring and managing staff, including on-the-spot feedback, annual evaluations, and administering performance counseling and discipline.Assuming patient care as needed and building meaningful relationships with patients by dedicating time to understand their physical, mental, and emotional needs for a successful recovery.Celebrating patient victories along the way. QualificationsCurrent RN licensure as required by state regulations.BLS certification with ACLS certification to be obtained within one year of starting position.CRRN certification to be obtained within a year of meeting the eligibility requirements.Bachelor's Degree in Nursing or related field preferred.Two years of recent experience in an inpatient hospital setting (within the last five years).Previous leadership role, such as charge nurse or lead capacity, where you were responsible for interim reporting, issue resolution, setting direction, and having accountability for patient and staff results. The Encompass Health WayWe proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.We're looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!
Full Time
4/7/2025
Middlesboro, KY 40965
(36.8 miles)
Become a part of our caring community and help us put health firstHumana 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 QualificationsMust reside in the Commonwealth of Virginia or within a 20-mile radius from Virginia in a bordering state/district (Washington DC, MD, WV, KY, TN & NC).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.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.Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families.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.Preferred QualificationsPrior 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 InformationWorkstyle: 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 StatementTo 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.Interview FormatAs part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.#EVScheduled Weekly Hours40Pay RangeThe 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 yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, 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 usHumana 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 EmployerIt 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 veteran status. 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.
Full Time
4/7/2025
Middlesboro, KY 40965
(36.8 miles)
Become a part of our caring community and help us put health firstHumana Healthy Horizons in Virginia is seeking a RN, Field Care Manager Nurse 2 (Maternal-Health) who will assess and evaluate high acuity 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 well-being of members who are pregnant and postpartum. The RN, Field Care Manager Nurse 2 (Maternal-Health) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.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.Use your skills to make an impact Required QualificationsMust reside in the Commonwealth of Virginia or within a 40-mile radius from Virginia in a bordering state/district (Washington DC, MD, WV, KY, TN & NC).Active Registered Nurse (RN) license in the Commonwealth of Virginia without disciplinary action. Minimum two (2) years of experience of in-home case/care 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.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.Ability to travel to region-based facilities and homes for face-to-face assessments. 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.Preferred QualificationsBachelor'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. See “Additional Information” for more information.Additional InformationWorkstyle: This is a remote position that will require you to travel.Travel:50 - 75% region-based travel to meet with members, their families and providers. May need to attend occasional onsite meetings 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 StatementTo 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.Interview FormatAs part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.#EVScheduled Weekly Hours40Pay RangeThe 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 yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, 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 usHumana 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 EmployerIt 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 veteran status. 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.
Full Time
4/7/2025
Middlesboro, KY 40965
(36.8 miles)
Become a part of our caring community and help us put health firstHumana Healthy Horizons in Virginia is seeking RN, Field Care Managers (Field Care Manager Nurse 2) who will perform telephonic and face-to-face assessments and evaluations of high acuity Home and Community Based (HCBS), Private Duty Nursing, or Ventilated member needs and requirements. RN, Field Care Managers (Field Care Manager Nurse 2) supports achieving and/or maintaining optimal wellness by guiding members/families toward and facilitating interaction with resources appropriate for the care and well-being of members. The RN, Field Care Managers (Field Care Manager Nurse 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.This role involves meeting members in the field at their home, Nursing Facility (NF) or location of the member’s choice, spending quality time assessing their goals, needs and barriers andthen connectingour members with quality services to promote their ultimate well-being and drive person centered health outcomes.Reviews analyzes, assess, and attests for medical complexity.Employs a variety of evidence-based strategies, approaches, and techniques to manage a member's physical, environmental, and psychosocial health. Identifies and resolves barriers that hinder effective care. Develops member individualized care plans.Ensures member is progressing towards desired outcomes by continuously monitoring member care through comprehensive assessments and/or evaluations. Makes autonomous decisions, occasionally in ambiguous situations. Requires minimal direction and receives guidance where needed. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.Follows established guidelines/procedures.Use your skills to make an impact Required QualificationsMust reside in the Commonwealth of Virginia or within a 20-mile radius from Virginia in a bordering state/district (Washington DC, MD, WV, KY, TN & NC).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 with individuals who meet the Cardinal Care Priority Population criteria (adult and pediatric populations at risk for chronic medical conditions & high social needs).One (1) year of experience working with member populations who receive private duty nursing services or life-sustaining ventilator dependent members. Knowledge of community health and social service agencies and additional community resources.Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel.Ability to use a variety of electronic information applications/software programs including electronic medical records.Excellent keyboard and web navigation skillsExceptional communication and interpersonal skills with the ability to quickly build rapport.Ability to work with minimal supervision. 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.Must be able to travel throughout Medicaid regions in the Commonwealth of Virginia.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.Preferred QualificationsBachelor of Science in Nursing (BSN).Certification in Case Management (CCM).Motivational Interviewing Certification and/or knowledge.3-5 years of in-home assessment and care coordination experience.Experience with disease management, health promotion, coaching and wellness.Previous managed care experience.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 InformationWorkstyle: 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 StatementTo 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.Interview FormatAs part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.#EVScheduled Weekly Hours40Pay RangeThe 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 yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, 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 usHumana 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 EmployerIt 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 veteran status. 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.
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