Care Manager, Telephonic Nurse

Humana; Alton (IL); Remote; USD 71,000 - 98,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off and holidays

Job summary

Humana Inc. seeks a Care Manager, Telephonic Nurse 2 to assess and plan care for members over the phone, guiding families toward appropriate resources and managing chronic conditions.

This remote position requires RN licensure in Illinois and ~3+ years of acute care experience, with CCM certification preferred. Travel to Humana offices may be required for training.

Qualifications

• RN license in Illinois required
• Bachelor's degree required
• CCM certification preferred
• Bi-Lingual English/Spanish required
• Experience with case management and discharge planning in adult acute care

Responsibilities

• Assess and evaluate members' needs via telephonic interactions
• Develop and implement care plans to meet member goals
• Educate members on chronic conditions and health management
• Identify and resolve barriers to care and coordinate resources
• Monitor progress and adjust plans based on patient data and conversations

Skills

RN license

Bi-Lingual English/Spanish

MS Office (Word/Excel/Outlook)

Case management

Discharge planning

Patient education

Managed care exposure

CCM certification

Education

Bachelor's degree

Job description

Become a part of our caring community

The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' 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 wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Care Manager, Telephonic Nurse 2 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 patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. This position will work with an assigned member population over the phone performing health assessments, care planning, and education on chronic conditions and any gaps in their health care plans.

Qualifications

• Bachelor's degree
• ~3+ years of experience of clinical acute care experience
• ~ Licensed Registered Nurse (RN) in the state of Illinois with no disciplinary action
• ~ Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
• ~ Experience with case management, discharge planning and patient education for adult acute care
• Managed care experience
• Certified Case Manager (CCM)
• Bi-Lingual (English/Spanish

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: wireless, wired cable or DSL connection is suggested.

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

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. 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.

Benefits:

• medical, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance
• many other opportunities

About Humana

Humana Inc. (S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large.

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.