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Location
Tulsa, OK, United States
Posted on
May 27, 2021
Profile
Description
The RN, Mom's First Field Care Manager (Mom's First/Maternity) assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families towards and facilitates interaction with resources appropriate for the care and wellbeing of members. The RN, Mom's First Field Care Manager (Mom's First/Maternity) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Responsibilities
The RN, Mom's First Field Care Manager (Mom's First/Maternity) 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.
Performs telephonic and face to face assessments and evaluations of the member's needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward the appropriate resources for the care and overall wellbeing of the member.
Ensures member is progressing towards desired outcomes by continuously monitoring care through assessments and/or evaluations.
Creates member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
Collaborates with providers and community services to promote quality and cost-effective outcomes.
Required Qualifications:
Licensed Registered Nurse (RN) in the state of Oklahoma without restrictions.
Minimum one (1) year of clinical experience in Obstetrics/Women's Care/Labor & Delivery/Mother Baby, NICU and/or Clinical Triage.
Exceptional communication and interpersonal skills with the ability to quickly build rapport.
Ability to work with minimal supervision within the role and scope.
Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel; excellent keyboard and web navigation skills.
This role is considered member 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.
This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
Must have a separate room with a locked door that can be used as a home office, to ensure you have absolute and continuous privacy while you work.
Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required.
Must reside in the state of Oklahoma; travel within the state is expected (See Additional Information section for details).
Preferred Qualifications:
Care coordination experience working with Medicare, Medicaid and dual-eligible populations.
Experience with health promotion, coaching and wellness.
Certification in Case Management (CCM).
Knowledge of community health and social service agencies and additional community resources.
Bilingual preferred (Spanish, Native Tribal, Vietnamese or other).
Additional Information
Benefits : Effective on the 1st day of employment; Medical, Dental & Vision, Competitive 401k match, Paid Time Off (PTO) accruals, Tuition Reimbursement, Parental Leave & much more.....
Typical Days/Hours : Monday - Friday; 8:00am - 5:00pm Central Standard Time (CST).
Travel: 50%, within the state of Oklahoma to meet with members and occasional travel to our Oklahoma City office location for staff meetings, training, etc.
Interview Format
As part of our hiring process, we will be using an exciting interviewing technology provided by Montage/Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours
40
Company info
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