Remote Care Manager & Telephonic Nurse (RN/LCSW)

Humana, Inc.; Oklahoma; Hybrid; USD 71,000 - 98,000; Full time

Benefits offered by this job

Medical, dental & vision benefits

401(k) plan

Paid time off & holidays

Travel for training/meetings as needed

Job summary

Humana, Inc. is seeking an Oklahoma-based Telephonic Care Manager who assesses enrollees, plans care, and coordinates services to maintain or achieve optimal wellness.

The role involves collaboration with a care management team and may require home or facility visits. Responsibilities include conducting telephonic and face-to-face assessments, developing enrollee care plans, tracking progress, and coordinating with providers to deliver cost-effective, high-quality care.

Qualifications

• Active RN license or LPC or LCSW certification.
• Minimum 1 year of clinical experience.
• 2+ years of care management experience.
• Experience coordinating Medicaid/Medicare enrollees’ services.
• Knowledge of community health resources and agencies.

Responsibilities

• Assess enrollees' health needs and plan appropriate care.
• Coordinate interactions with care management team and providers.
• Monitor progress toward desired health outcomes and adjust plans.
• Create enrollee care plans aligned with organizational goals.
• Perform telephonic and in-person assessments as needed.
• Travel to Humana Oklahoma offices for training and meetings when required.

Skills

Care management

Medicare/Medicaid experience

Microsoft Office

Education

Registered Nurse license

Licensed Professional Counselor (LPC)

Licensed Clinical Social Worker (LCSW)

Tools

Microsoft Word

Excel

PowerPoint

Job description

Humana, Inc. is seeking an Oklahoma-based Telephonic Care Manager who assesses enrollees, plans care, and coordinates services to maintain or achieve optimal wellness.

The role involves collaboration with a care management team and may require home or facility visits. Responsibilities include conducting telephonic and face-to-face assessments, developing enrollee care plans, tracking progress, and coordinating with providers to deliver cost-effective, high-quality care.