UNKNOWN

ADAPTED_NOW

Lead NP/PA's will also possess the fillowing: Experience leading research projects focused on evaluating the outcomes of applicants granted medical waivers including assessment of training success, condition progression within the first year of service, and development of criteria tailored to USCG operations. Spectrum Healthcare Resources has a potential opportunity for a remote/in-person hybrid Lead Physician Assistant or Nurse Practitioner for the United States Coast Guard (USCG) in the Washinton D.C area at either a field office in Fairfax, VA or Dumphries, VA.

<h4>Job Description</h4>Spectrum Healthcare Resources has a potential opportunity for a remote/in-person hybrid Lead Physician Assistant or Nurse Practitioner for the United States Coast Guard (USCG) in the Washinton D.C area at either a field office in Fairfax, VA or Dumphries, VA.  Minimum Qualifications Each Advanced Practitioner must possess:<ul><li>A Doctorate or Master’s Degree in a medical field, such as Physician Assistant (PA), Nurse Practitioner (NP), or equivalent, from an accredited program.</li><li>A current, unrestricted medical license in at least one (1) U.S. state relevant to the qualifying career path.</li><li>Board certification PA or NP.</li><li>Current credential or prior medical provider within the USCG healthcare network.</li><li>A minimum of three (3) years of experience in medical record review, medical waiver adjudication, or military medical assessments.</li><li>Familiarity with USCG and DoD medical policies, HIPAA compliance standards, and medical standard requirements for: <ul><li>Approved USCG commissioning physicals</li><li>Retention physicals (PHA’s)</li></ul></li></ul>Minimum of One (1) year experience with Electronic Medical Record (EMR) systems, including: o Cerner EMR, the primary USCG system for maintaining electronic healthcare treatment records.<ul><li>MHS GENESIS (MHSG), the electronic health record system used across the Military Health System.</li><li>Joint Longitudinal Viewer (JLV), which provides access to integrated health histories across DoD, VA, and private sector partners.</li></ul>Preferred Qualifications<ul><li>Additional specialty certifications in emergency medicine or behavioral health. Examples below: o National Commission on Certification of Physician Assistants (NCCPA) <ul><li>American Academy of Nurse Practitioners Certification Board (AANPCB)</li><li>Psychiatric – Mental Health Nurse Practitioner (PMHNP-BC)</li></ul></li></ul> Lead NP/PA's will also possess the fillowing:<ul><li>Experience leading research projects focused on evaluating the outcomes of applicants granted medical waivers including assessment of training success, condition progression within the first year of service, and development of criteria tailored to USCG operations.</li><li>Ability to review and analyze weekly discharge rosters to identify cases involving medical waivers and assess condition exacerbation during training.</li><li>Demonstrated skill in providing constructive feedback</li></ul> For More Information, please contact: Joseph DayRecruiterDirect: (314) 744-4138 <h4>Location : Location</h4>US-VA-Fairfax<h4>Recruiter : Full Name: First Last</h4>Joseph Day<h4>Direct phone number</h4>314-774-4138<h4>Recruiter : Email</h4>joseph_day@spectrumhealth.com

Spectrum Healthcare Resources

Physician Assistant -Senior Lead Remote Hybrid

Specturum Healthcare Resources

Lead NP/PA's will also possess the fillowing: Experience leading research projects focused on evaluating the outcomes of applicants granted medical waivers including assessment of training success, condition progression within the first year of service, and development of criteria tailored to USCG operations. Spectrum Healthcare Resources has a potential opportunity for a remote/in-person hybrid Lead Nurse Practitioner or Physician Assistant for the United States Coast Guard (USCG) in the Washinton D.C area at either a field office in Fairfax, VA or Dumphries, VA.

<h4>Job Description</h4>Spectrum Healthcare Resources has a potential opportunity for a remote/in-person hybrid Lead Nurse Practitioner or Physician Assistant for the United States Coast Guard (USCG) in the Washinton D.C area at either a field office in Fairfax, VA or Dumphries, VA.  Minimum Qualifications Each Advanced Practitioner must possess:<ul><li>A Doctorate or Master’s Degree in a medical field, such as Physician Assistant (PA), Nurse Practitioner (NP), or equivalent, from an accredited program.</li><li>A current, unrestricted medical license in at least one (1) U.S. state relevant to the qualifying career path.</li><li>Board certification PA or NP.</li><li>Current credential or prior medical provider within the USCG healthcare network.</li><li>A minimum of three (3) years of experience in medical record review, medical waiver adjudication, or military medical assessments.</li><li>Familiarity with USCG and DoD medical policies, HIPAA compliance standards, and medical standard requirements for: <ul><li>Approved USCG commissioning physicals</li><li>Retention physicals (PHA’s)</li></ul></li></ul>Minimum of One (1) year experience with Electronic Medical Record (EMR) systems, including: o Cerner EMR, the primary USCG system for maintaining electronic healthcare treatment records.<ul><li>MHS GENESIS (MHSG), the electronic health record system used across the Military Health System.</li><li>Joint Longitudinal Viewer (JLV), which provides access to integrated health histories across DoD, VA, and private sector partners.</li></ul>Preferred Qualifications<ul><li>Additional specialty certifications in emergency medicine or behavioral health. Examples below: o National Commission on Certification of Physician Assistants (NCCPA) <ul><li>American Academy of Nurse Practitioners Certification Board (AANPCB)</li><li>Psychiatric – Mental Health Nurse Practitioner (PMHNP-BC)</li></ul></li></ul> Lead NP/PA's will also possess the fillowing:<ul><li>Experience leading research projects focused on evaluating the outcomes of applicants granted medical waivers including assessment of training success, condition progression within the first year of service, and development of criteria tailored to USCG operations.</li><li>Ability to review and analyze weekly discharge rosters to identify cases involving medical waivers and assess condition exacerbation during training.</li><li>Demonstrated skill in providing constructive feedback</li></ul> For More Information, please contact: Joseph DayRecruiterDirect: (314) 744-4138 <h4>Location : Location</h4>US-VA-Fairfax<h4>Recruiter : Full Name: First Last</h4>Joseph Day<h4>Direct phone number</h4>314-774-4138<h4>Recruiter : Email</h4>joseph_day@spectrumhealth.com

Nurse Practitioner -Senior Lead Remote Hybrid

The Care Manager will advocate and guide utilizing motivational interviewing techniques and intervene on behalf of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of the care plan. The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members.

YEAR

Job Description: Job Summary: Start Date:Monday October 27, 2025 Salary:$85,000 annually, plus comprehensive benefits package The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to improved health outcomes. The Care Manager will advocate and guide utilizing motivational interviewing techniques and intervene on behalf of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of the care plan. Essential Job Functions: + Engage telephonically with members, caregivers, and providers to develop a comprehensive plan of care, identify key strategic interventions, and address the members needs at various stages along the care continuum. + Serve as an extension of the care team by collaborating with PCPs, specialists, other clinicians, and member to meet health care goals through development and implementation of Care Plans. + Assess the member’s ongoing care needs and progress towards goals throughout the plan duration and make revisions as needed to address changes in the member’s condition, lack of progress toward goals of the care plan, preference changes, and transitions in care settings. Coordinates plan of care with goals of member stabilization, decreased admissions, medication management, behavior change and ability to self-manage. + Coordinate patient education in support of standards of care guidelines and related health issues using the most appropriate modality for the member. + Identify relevant benefit and community resources, evaluates Social determinants of Health and facilitates referrals based on member need. + Assist the member in coordination of any additional tests, images and consults with specialists. + Perform medication reconciliation at the onset of care plan, after changes in health status, and every thirty days during the life cycle of the care plan, assessing for efficacy and drug interactions/side effects. + Facilitate and monitor the transition of care which involves moving the member from one healthcare practitioner to another as their healthcare needs change. Implements and oversees the agreed upon plan of care as well as coordinates member follow-up post discharge. + Utilize established documentation standards to maintain quality of care plan documentation to include member progress toward their established state of being and barriers to achievement of care plan objectives and outcomes. + Abide by Value Based Care Management Program Description and Guidelines. + Meet productivity and quality metrics as outlined by leadership for each year. + Complete mandatory training and annual competency testing. + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical knowledge via self-directed learning. Specific Skills/ Attributes: + Strong motivational interviewing and case management skills. + Ability to be self-directed, highly organized, multi-task capable, and proficient in problem solving skills. + Ability to meet established deadlines. + Exceptional oral, written, and presentation skills. + Ability to effectively communicate and provide positive customer service to internal and external customers, meeting the expectations for service excellence. + Successfully partner with all levels of administrative and professional personnel. + Demonstrate resilience and effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads. + Success with engaging members. Outstanding customer service skills and ability to adapt approach to various personalities. + Ability to extrapolate information from a variety of sources including medical records to create concise records that accurately depict the medical “story” of the member. + Proficiency with data analysis and ability to organize data in support of reporting needs. + Ability to proactively identify and assimilate quality improvement processes into practice. + Experience with medically oriented care plan documentation. + Experience working effectively within a matrix organizational design. Qualifications: + Current multi-state compact Registered Nurse licensure in state of residence is required, with ability to obtain additional licenses without restriction. BSN preferred. + Training in motivational interviewing preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. + Demonstrates computer competencies to include electronic medical records, word processing, spreadsheet, presentation preparation, and. Demonstrated ability to learn customized computer applications. + Maximize all technology inclusive of Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft Outlook, laptop computers, and all other relevant unified communication technologies. + This position will be based from a home office which must satisfy all HIPAA requirements and minimum internet connectivity requirements. + Ability to communicate with members, other members of the team, physicians, and plan representatives. + Ability to read, analyze, and interpret common scientific and technical journals. Ability to effectively present information to audiences with a variety of knowledge/skill levels _Note:_ _The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs._ Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law. Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.

Sharecare

Care Manager, Registered Nurse- Remote

Sharecare, Inc.

Humana 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. May need to attend occasional onsite meetings inHumana Healthy Horizons office in Glen Allen, VA.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. .

Become a part of our caring community and help us put health first Humana 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. Role Overview 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 Qualifications Must reside in the Northern/Winchester Region in the Commonwealth of Virginia and travel to see members in region-based facilities and homes for face-to-face assessments and interactions with members and/or families. In the counties/independent cities of Winchester, Frederick, Clarke, Warren, Shenandoah, Page, Rappahannock, Culpeper, Fauquier, Prince William, Fairfax, Fairfax City, Alexandria, Arlington, Falls Church, Loudoun, Manassas and Manassas Park. Active Registered Nurse (RN) license in the Commonwealth of Virginia without disciplinary action. 2 years of prior experience in health care and/or case management. 1 year of acute care experience working in obstetrics, women’s care, labor and delivery, mother, baby, NICU and/or clinical triage. 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 with the ability to use a variety of electronic information applications/software programs including electronic medical records. Excellent keyboard and web navigation skills. 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 travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families. Preferred Qualifications Bachelor'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._ Work At Home Requirements To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is required. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. 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. Additional Information Workstyle:Field - This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes. Workdays and Hours:40 hours a week - Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST). Travel:50 - 75% region-based travel to meet with members, their families and providers. May need to attend occasional onsite meetings inHumana Healthy Horizons office in Glen Allen, VA.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.  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. Screening:This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. 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. Interview Format As 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. Social Security Task Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent fromHumana@myworkday.comwith instructions to add the information into the application at Humana’s secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Humana

Maternal-Child Health RN Field Care Manager

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Spectrum Healthcare Resources

Spectrum Healthcare Resources

Sharecare

Humana

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