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Management Jobs
Full Time
4/18/2025
North Tazewell, VA 24630
(9.6 miles)
Description: Clinch Valley Health Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Clinch Valley Medical Center is a 175-bed acute care hospital with a growing integrated network of care that offers many services for our community. Today, our unwavering commitment to our patients ranks us as one of the top hospitals in Virginia and the nation for quality of care – including patient safety and health outcomes. Where We Are: As one of the most peaceful towns in the State of Virginia, Richlands is comfortably located within the mountains of Southwest Virginia. Nestled in the Appalachian Mountains and along the banks of the Clinch River, the Town of Richlands is privileged by the exposure of a diverse and unique culture. Many of the local attractions reflect the unique culture of Appalachian Mountains. Why Choose Us: Health (Medical, Dental, Vision) and 401K Benefits for full-time employeesCompetitive Paid Time Off / Extended Illness Bank package for full-time employeesEmployee Assistance Program – mental, physical, and financial wellness assistanceTuition Reimbursement/Assistance for qualified applicantsEmployee discount programAnd much more Position Summary: Collaborates with Operations Clinical Leadership Teams, quality staff, and healthcare delivery teams, to implement, monitor, and evaluate the organizations healthcare quality and safety programs, to improve patient outcomes. Performs a variety of duties related to analysis and evaluation, which includes creating and implementing policies, systems and processes, that improve patient care and safety. Serves as a resource for clinical leadership and staff, for risk and quality related issues and information. Ensures, that the offices are in compliance with ever-changing legislation and safety regulations. Is a liaison to the Risk Manager/Coordinator, facilities legal team and out-side agencies to mitigate and manage risk. Plans, develops and administers records management policies, designed to facilitate effective and efficient handling of health information records. Essential Functions: • Develops and maintains clinic policies, forms and procedures.• Works with the Operations Team to create, update and maintain provider manuals.• Educates staff on risk awareness and prevention, confidentiality and appropriate documentation• Understands and follows safety and security procedures. Personally practices preventative safety procedures.• Immediately reports all accidents and incidents to the Operations Team or Human Resources• In conjunction with operations, legal and the risk management, mediates patient and employee complaints and investigations• Coordinates Quarterly Rural Health Audits and compliance for accreditation. Coordinates annual review with facility medical director and annual meeting.• Maintains records for RHC State Surveyor: Policies; Staff Licensure and Credentials.• Coordinates Risk case review, in conjunction with the Operations Team, when applicable.• Notifies Operations Team, Risk Manager and the companies Legal Counsel of potential litigation or malpractice claims.• Reviews medical records for liability issues• May be asked to research records and report, on instances of fraud or theft• In coordination with the Operations Team, may be asked to conduct on-going patient satisfaction surveys• In conjunction with the Operations Team, provides quality data as available to Senior Management.• Provides data for analysis, in the development of risk management plans and strategies, to enhance overall programs and identify areas of quality improvement• Participates in provider education, in regards to quality and healthcare reform• Coordinates Quality Measure efforts with the Lifepoint Quality Team• Coordinates Quality Wellness Preventative Health• Works closely with Clinical Nurse Manager with staffing, scheduling, and disciplinary actions for clinical staff. This position will serve as the backup to the Clinical Nurse Manager.• Works closely with Clinical Nurse Manager to keep offices functioning within state compliances and accreditations.• Provides direct supervision of staff, including assignment of work tasks, coaching, training and general performance.• Directs the health information management functions which include release of information, transcription, analysis, record imaging and electronic medical record technical support.• Develops departmental goals and objectives within the health care delivery system• Develops and enforces the organizations health information management policies and procedures including, but not limited to release of information, storage, retrieval and record retention• Monitors health information management systems and sets the healthcare systems standards for data quality and ethical practice. Includes forms management, documentation standardization and record content management.• Representative for facility as health information records custodian for legal purposes and court appearances.• Acts as the Facilities Privacy Official “designee” and reports to the Market Director, Ethics & Compliance Officer, and the Privacy Officer. Works collaboratively with risk management, to minimize the potential risk of privacy and security breaches, to mitigate harm, if any and to resolve related issues.• Initiates, facilitates and promotes activities, to foster information privacy and security awareness within the organization• Educates staff on polices governing HIPAA and performs routine audits to ensure compliance• Assist patients and representatives with HIPAA privacy complaints and request: Privacy or Security Breaches; Access to records; Amendment Request; Restrictions; Confidential Communications Request and Accounting of Disclosures.• Reports breaches on the Corporate Portal• Acts as facility Recovery Audit Coordinator. Ensures completion within the regulated time frame by CMS and the RAC reviewers. Coordinates all files, response letters and files appropriate appeals, necessary in collaboration with Case Management and the physicians.• Recognizes accuracy and workflow problems and performs quality management studies and makes recommendations.• Monitors local, and national health care delivery changes in legislation and accreditation standards, that affect health information management.• Provides work schedules and maintains sufficient staffing• In coordination with HR and the Operations Team, administers progressive discipline, including corrective actions, when necessary, to ensure high level of job performance• Conducts formal performance appraisals and develops action plans for employee development under their direct supervision or as assigned• Effectively recruits, screens and hires staff as needed• Manages activities to include timekeeping, approval of time off request and reinforces organizational core values and behavioral expectations, through modeling, communication and coaching.• ID, COVID point person, for testing and updates• Compliance point person for Medical Group Services• Follow up on all RL Solutions issues• Point Person for students in the following programs: MA, nurses, FNP, and VCOM• Maintain college affiliation updates• Legal Liaison• Update and maintain CLIA waivers for 10 locations• HRSA Certification and maintain membership• Handles the VISA process for all Medical Group Services.Qualifications: Education: Associate degree in nursing from an accredited college/university. Bachelor's degree strongly preferred. Experience: At least five (5) years of progressive nursing experience required. Experience is quality/risk management is strongly preferred. Must have strong organizational, analytical and objective problem solving skills. Team oriented mentality with flexibility to accommodate a variety of circumstances, while maintaining ownership and accountability of goals. License/Certifications: Current Virginia RN license. BLS is preferred. Skills and Abilities: Computer Skills: Moderate Computers 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. Communication: Complex Communication -- Frequently communicates complex information and interacts with management. Can present, resolve and address delicate situations. Can motivate and persuade others. Decision Making: Department Specific Impact -- Decisions impact the management and operations within a department. May contribute to business and operational decisions that affect the department. Nature of Problems: Varied Business Problems -- Problems are varied and complex, requiring analysis or interpretation of the situation. Problems are solved using knowledge and skills, general precedents and practices. Independent Judgment: Functional Independent Judgment -- 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. Planning/Organization: Project Management -- Handle multiple projects simultaneously including task delegation, project oversight, and resource allocation.
Full Time
5/1/2025
Bluefield, VA 24605
(1.9 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.Earn a $5,000 hiring bonus! $2,000 is paid after 6 months (180 days) of employment and $3,000 is paid after 1 year (365 days) of employment. You must be employed until those dates to be eligible to receive the payment.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 Southwest Region in the Commonwealth of Virginia in the counties/independent cities of Lee, Scott, Washington, Bristol, Russell, Norton, Wise, Buchanan, Dickenson, Tazewell, Smyth, Bland, Grayson, Gala, Wythe, Carroll County or within a 20-mile radius from the region in a bordering state (TN, KY)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.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.#EVTravel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled 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 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.
Full Time
4/4/2025
Radford, VA 24141
(44.2 miles)
Physical Therapist - Clinic Manager- Outpatient - Monthly IncentiveGet 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
5/1/2025
Daniels, WV 25832
(36.5 miles)
Overview: Full-Time Friday/Saturday/Sunday DayshiftAt Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve. Responsibilities: The RN Supervisor supports the Director of Nursing with the delivery of efficient and effective nursing care while achieving positive clinical outcomes, and patient/family and employee satisfaction.*Lead, guide and direct the clinical operations of the nursing units on assigned shift including ensuring compliance with policies and procedures, practice standards and regulations.*Facilitate the implementation of the care delivery model and processes, mentoring staff, along with coordination and communication with other departments.*Collaborate with the Director of Nursing to maintain adequate nursing staff to provide safe, 24/7 nursing care with an emphasis on limiting use of overtime and agency personnel.*Participate in staff recruitment, new hire orientation and make recommendations for employee promotions, transfers, and terminations. Qualifications: *Must be a graduate of an accredited school of nursing, college, or university; BSN preferred.*Current Registered Nurse licensure by the State Board of Nursing Benefits: *Variable compensation plans*Tuition, Travel, and Wireless Service Discounts*Employee Assistance Program to support mental health*Employee Foundation to financially assist through unforeseen hardships*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffWe also offer several voluntary insurances such as:*Pet Insurance*Term and Whole Life Insurance*Short-term Disability*Hospital Indemnity*Personal Accident*Critical Illness*Cancer CoverageRestrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service. Posted Salary Range: USD $35.00 - USD $39.00 /Hr.
Full Time
5/1/2025
Bluefield, VA 24605
(1.9 miles)
Overview: FULL-TIME RN UNIT MANAGER / SOME ON-CALL RESPONSIBILITY-ROTATIONAt Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve. Responsibilities: As a Unit Manager/Director - RN where within an assigned unit you will support the Director of Nursing with the delivery of high quality care while achieving positive clinical outcomes, and patient/resident, family and employee satisfaction.*Lead, guide and direct the overall operations, coordination and direction of nursing and patient/resident care for an assigned nursing unit. *Ensure that patient/resident care delivery is consistent with the mission, vision, values and policies of Genesis HealthCare and in accordance with accepted standards of practice, state and federal regulations and licensing requirements. *Collaborate with staff, physicians, rehabilitation therapy and other professionals to ensure the best possible outcomes for patients on assigned nursing unit.*Manage the human resources in assigned unit to include limiting use of overtime and agency personnel, recruiting and orientating staff, assessing the work performance of nursing staff, and implementing disciplinary action when necessary. Qualifications: *Must be graduate of an accredited school of nursing, college or university.*Current Registered Nurse licensure by the State Board of Nursing is required. Benefits: *Variable compensation plans*Tuition, Travel, and Wireless Service Discounts*Employee Assistance Program to support mental health*Employee Foundation to financially assist through unforeseen hardships*Diverse, Equitable, and Inclusive (DEI) workplace with DEI committee. DEI is a part of our company's DNA.*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffWe also offer several voluntary insurances such as:*Pet Insurance*Term and Whole Life Insurance*Short-term Disability*Hospital Indemnity*Personal Accident*Critical Illness*Cancer Coverage*Nursing Tuition Assistance ProgramRestrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service. Posted Salary Range: USD $75,000.00 - USD $83,500.00 /Yr.
Full Time
4/19/2025
Beckley, WV 25801
(39.0 miles)
Overview: At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve. Responsibilities: As a Unit Manager/Director - RN where within an assigned unit you will support the Director of Nursing with the delivery of high quality care while achieving positive clinical outcomes, and patient/resident, family and employee satisfaction.*Lead, guide and direct the overall operations, coordination and direction of nursing and patient/resident care for an assigned nursing unit. *Ensure that patient/resident care delivery is consistent with the mission, vision, values and policies of Genesis HealthCare and in accordance with accepted standards of practice, state and federal regulations and licensing requirements. *Collaborate with staff, physicians, rehabilitation therapy and other professionals to ensure the best possible outcomes for patients on assigned nursing unit.*Manage the human resources in assigned unit to include limiting use of overtime and agency personnel, recruiting and orientating staff, assessing the work performance of nursing staff, and implementing disciplinary action when necessary. Qualifications: *Must be graduate of an accredited school of nursing, college or university.*Current Registered Nurse licensure by the State Board of Nursing is required. Benefits: *Variable compensation plans*Tuition, Travel, and Wireless Service Discounts*Employee Assistance Program to support mental health*Employee Foundation to financially assist through unforeseen hardships*Diverse, Equitable, and Inclusive (DEI) workplace with DEI committee. DEI is a part of our company's DNA.*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffWe also offer several voluntary insurances such as:*Pet Insurance*Term and Whole Life Insurance*Short-term Disability*Hospital Indemnity*Personal Accident*Critical Illness*Cancer Coverage*Nursing Tuition Assistance ProgramRestrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service. Posted Salary Range: USD $79,000.00 - USD $81,000.00 /Yr.
Full Time
4/18/2025
BECKLEY, WV 25801
(39.0 miles)
Role Overview: Do you strive to create amazing culinary experiences Sodexo is seeking a General Manager at West Virginia University's Beckley Bears Den in Beckley, WV. This role directs all contract management service operations at a single unit. The General Manager plans and supervises special functions, maintains cash control and payroll records, and hires and trains unit personnel. This role will also be responsible for maintaining customer satisfaction and good public relations, managing through managers, and providing local leadership and strategic direction while developing a team for new and emerging business solutions that sustain growth in day-to-day operations. Incentives: RELOCATION ASSISTANCE AVAILABLE! What You'll Do: have oversight of day-to-day operations;deliver high-quality food service;Implement Sodexo systems and programs, and oversee training of staff;Drive employee engagement and student satisfaction through strong leadership skills;Integrate fully within our client's organization and be a trusted advisor with a customer service focus;Achieve company and client financial targets and goals. What We Offer: Compensation is fair and equitable, partially determined by a candidate's education level or years of relevant experience. Salary offers are based on a candidate's specific criteria, like experience, skills, education, and training. Sodexo offers a comprehensive benefits package that may include:Medical, Dental, Vision Care and Wellness Programs401(k) Plan with Matching ContributionsPaid Time Off and Company HolidaysCareer Growth Opportunities and Tuition ReimbursementMore extensive information is provided to new employees upon hire. What You Bring: Food service management experience ideally in acampus environment;Strong financial skills, P&L experience; a work history demonstrating strong leadership and hospitalityskills and the ability to work collaboratively;the ability to manage multiple priorities, demonstrate professional communication skills, and a passion for a high level of customer service;Knowledge of compliance with food safety, sanitation, and overall workplace safety standards;The ability to prioritize tasks and exhibit flexibility to take on additional responsibilities as needed. Who We Are: At Sodexo, our purpose is to create a better everyday for everyone and build a better life for all. We believe in improving the quality of life for those we serve and contributing to the economic, social, and environmental progress in the communities where we operate. Sodexo partners with clients to provide a truly memorable experience for both customers and employees alike. We do this by providing food service, catering, facilities management, and other integrated solutions worldwide.Our company values you for you; you will be treated fairly and with respect, and you can be yourself. You will have your ideas count and your opinions heard because we can be a stronger team when you’re happy at work. This is why we embrace diversity and inclusion as core values, fostering an environment where all employees are valued and respected. We are committed to providing equal employment opportunities to individuals regardless of race, color, religion, national origin, age, sex, gender identity, pregnancy, disability, sexual orientation, military status, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. If you need assistance with the application process, please complete this form. Qualifications & Requirements: Minimum Education Requirement - Bachelor's Degree or equivalent experienceMinimum Management Experience - 3 yearsMinimum Functional Experience - 3 years
Full Time
5/1/2025
Pearisburg, VA 24134
(34.6 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.Earn a $5,000 hiring bonus! $2,000 is paid after 6 months (180 days) of employment and $3,000 is paid after 1 year (365 days) of employment. You must be employed until those dates to be eligible to receive the payment.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 central to northern Roanoke/Alleghany Region in the Commonwealth of Virginia in the counties/independent cities of Giles, Montgomery, Roanoke, Salem, Bedford, Craig, Botetourt, Covington, Alleghany, Rockbridge, Buena Vista, Lexington, Bath and Highland. 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.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.#EVTravel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled 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 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.
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Full Time
4/23/2025
Camp Creek, WV 25820
(22.6 miles)
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Full Time
4/23/2025
Camp Creek, WV 25820
(22.6 miles)
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