Care Manager, Telephonic Nurse

IntelliResume; Oklahoma; 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

Short-term and long-term disability

Life insurance

Job summary

Humana is seeking a Care Manager, Telephonic Nurse to assess enrollees' needs and guide families toward appropriate resources. You will assess, plan, and monitor care to optimize wellness, using telephonic and face-to-face interactions as needed.

Required are an active RN license or LPC/LCSW, with 1 year clinical experience and 2+ years in care management, plus experience with Medicaid/Medicare enrollees. This is a remote role based in Oklahoma.

Qualifications

• Active RN license, LPC, or LCSW required.

Responsibilities

• Assess enrollees' needs and requirements.
• Guide enrollees and families towards appropriate resources.
• Employ strategies to manage behavioural, physical, environmental, and psycho-social health needs.
• Monitor assessments to ensure progress toward outcomes.
• Create enrollee care plans.
• Perform telephonic and face-to-face assessments.
• Collaborate with providers and community services for quality outcomes.
• Follow established guidelines and procedures.
• Engage with the interdisciplinary care management team.
• Coordinate in-person meetings between care managers and enrollees.

Education

Active RN license, LPC, or LCSW must be held

Job description

About This Role

The Care Manager, Telephonic Nurse will assess and evaluate enrollees' needs to achieve or maintain optimal wellness. This role is ideal for experienced nurses who can guide enrollees and families towards appropriate resources for their care.

Highlights

• Pay: $71,100 - $97,800/year
• Location: Remote, OK
• Department/Unit: Care Management
• Schedule: Full-time
• Residency: Must reside in Oklahoma

What You'll Do

• Assess and evaluate enrollees' needs and requirements.
• Guide enrollees and families towards appropriate resources.
• Employ strategies to manage enrollees' behavioral, physical, environmental, and psycho-social health needs.
• Monitor assessments and evaluations to ensure enrollees are progressing toward desired outcomes.
• Create enrollee care plans.
• Perform telephonic and face-to-face assessments of members' needs.
• Collaborate with providers and community services for quality outcomes.
• Follow established guidelines and procedures.
• Engage with the interdisciplinary care management team.
• Coordinate in-person meetings between care managers and enrollees.

Requirements

Education

• Active Registered Nurse (RN) license, Licensed Professional Counselor (LPC), or Licensed Clinical Social Worker (LCSW) required.

Experience

• Minimum 1-year clinical experience.
• 2 or more years of care management experience.
• Experience working with Medicaid and/or Medicare enrollees.

Licenses & Certifications

• RN (Registered Nurse) - State Licensure required, OR
• LPC (Licensed Professional Counselor) - required, OR
• LCSW (Licensed Clinical Social Worker) - required

Benefits

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Paid time off and holidays
• 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 required.