Care Manager, Telephonic Nurse

IntelliResume; South Carolina; 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 holidays

Paid parental and caregiver leave

Short-term and long-term disability

Life insurance

Job summary

Humana Inc. is seeking a Telephonic Nurse Care Manager to assess and coordinate care for members remotely in South Carolina.

This role emphasizes telephonic assessments, care planning, education, and resource coordination to support optimal wellness. Responsibilities include identifying barriers, developing care plans, monitoring progress, and collaborating with families, providers, and interdisciplinary teams while maintaining compliant documentation.

Qualifications

• BSN preferred and RN licensure in SC with compact privileges.
• 3+ years of acute care clinical nursing experience.
• Experience providing education and support for chronic condition management.
• Experience with community resource coordination and referrals.

Responsibilities

• Conduct telephonic assessments to identify clinical, behavioral, social, and environmental needs.
• Identify and resolve barriers to effective care and treatment adherence.
• Develop, implement, and update individualized care plans.
• Monitor progress toward outcomes through ongoing assessment.
• Provide education and support for chronic condition management and self-care.
• Coordinate care and facilitate access to providers, services, and community resources.
• Collaborate with members, families, providers, and interdisciplinary teams.
• Maintain timely, accurate documentation per guidelines and compliance.
• Apply department and organizational policies in day-to-day work.
• Exercise independent judgment in managing assigned caseloads.

Skills

Care coordination

Resource facilitation

Chronic condition education

Education

BSN preferred

Job description

About This Role

The Care Manager, Telephonic Nurse assesses and evaluates members' needs in a telephonic environment to achieve and maintain optimal wellness. This role is ideal for experienced nurses who are skilled in care coordination and resource facilitation.

Highlights

• Pay: $71,100 - $97,800/year
• Location: Remote, SC
• Department/Unit: Care Management
• Schedule: Full-time
• Residency: Must reside in the state of South Carolina
• Travel: Up to 20% travel may be required

What You'll Do

• Conduct telephonic assessments to identify members' clinical, behavioral, social, and environmental needs.
• Identify and resolve barriers that hinder effective care or treatment adherence.
• Develop, implement, and update individualized care plans as appropriate.
• Monitor member progress toward desired outcomes through ongoing assessment and evaluation.
• Provide education and support for chronic conditions management and self-care.
• Coordinate care and facilitate access to appropriate providers, services, and community resources.
• Collaborate with members, families, providers, and interdisciplinary teams to support care goals.
• Maintain timely and accurate documentation in accordance with established guidelines and quality and compliance requirements.
• Apply department, segment, and organizational policies, procedures, and operational objectives in day-to-day work.
• Exercise independent judgment and utilize available resources in managing assigned caseloads.

Requirements

Education:

• Bachelor of Science in Nursing (BSN) preferred

Experience:

• 3+ years of recent acute care clinical nursing experience
• Experience providing education and support for chronic condition management
• Experience with community resource coordination

Licenses & Certifications:

• Active, unrestricted Registered Nurse (RN) license in the state of South Carolina with multistate compact privileges and no disciplinary action required

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 make it easier for millions of people to achieve their best health by delivering the care and service they need when they need it.