Care Manager, Telephonic Nurse

Humana; Illinois; 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, including company and个人

Paid parental and caregiver leave

Short-term and long-term disability

Life insurance

Job summary

Humana is seeking a Care Manager, Telephonic Nurse to assess and coordinate members' health needs in a telephonic setting, guiding them toward resources and ensuring optimal wellness. This full-time, remote role in Illinois requires an RN license, a Bachelor’s degree, and 3+ years of clinical acute care experience; CCM certification is preferred and travel to Humana offices may be required for training.

Compensation ranges from $71,100 to $97,800 per year, with comprehensive medical, dental, and

Qualifications

• Bachelor’s degree required.
• 3+ years of clinical acute care experience required.
• Licensed Registered Nurse (RN) in Illinois with no disciplinary action required; CCM preferred.

Responsibilities

• Assess and evaluate members' needs and requirements.
• Guide members and families toward appropriate resources.
• Manage a member's physical, environmental, and psycho-social health issues.
• Identify and resolve barriers that hinder effective care.
• Monitor patient care through assessment and active care planning.
• Navigate multiple systems and employ critical thinking skills.
• Make decisions regarding work methods with minimal direction.
• Perform health assessments and education on chronic conditions.
• Facilitate interaction with resources for member well-being.

Skills

Care management

Critical thinking

Telephonic communication

Education

Bachelor's degree

Job description

About This Role

The Care Manager, Telephonic Nurse assesses and evaluates members' needs to achieve and maintain optimal wellness by guiding members and families toward appropriate resources. This role requires independent decision-making and critical thinking skills in a telephonic environment.

Highlights

• Pay: $71,100 - $97,800/year
• Location: Remote, IL
• Schedule: Full-time
• Work Style: Telephonic engagement
• Travel: Occasional travel to Humana's offices for training or meetings may be required.

What You'll Do

• Assess and evaluate members' needs and requirements.
• Guide members and families toward appropriate resources.
• Manage a member's physical, environmental, and psycho-social health issues.
• Identify and resolve barriers that hinder effective care.
• Monitor patient care through assessment and active care planning.
• Navigate multiple systems and employ critical thinking skills.
• Make decisions regarding work methods with minimal direction.
• Perform health assessments and education on chronic conditions.
• Facilitate interaction with resources for member well-being.

Requirements

Education

• Bachelor’s degree required

Experience

• 3+ years of clinical acute care experience required

Licenses and Certifications

• Licensed Registered Nurse (RN) in the state of Illinois with no disciplinary action required
• Certified Case Manager (CCM) preferred

Benefits

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Paid time off, including company and personal holidays
• Paid parental and caregiver leave
• Short-term and long-term disability
• Life insurance

About Humana

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through their insurance services and CenterWell healthcare services, they help millions achieve their best health by delivering the care and service needed when it matters most.