Remote Care Manager & Telephonic Nurse (RN/LPC/LCSW)

Humana; Oklahoma; Remote; USD 71,000 - 98,000; Full time

Job summary

Humana is seeking an Oklahoma-based telephonic Care Manager to assess enrollees, coordinate care plans, and facilitate access to resources. You will work with a multidisciplinary team to ensure holistic, person-centered care and optimal wellness for members.

The role requires clinical licensure (RN/LPC/LCSW), 1+ year of clinical experience, and 2+ years in care management, with travel to Humana offices for training as needed.

Qualifications

• Active RN, LPC, or LCSW license and Oklahoma residency.
• Minimum 1 year of clinical experience and 2+ years in care management.
• Experience coordinating Medicaid/Medicare services for enrollees.
• Solid knowledge of community resources and health services.
• Proficiency with Word, Excel and PowerPoint.

Responsibilities

• Assess enrollees' needs and coordinate care plans to improve wellness.
• Guide enrollees and families to appropriate resources and services.
• Perform telephonic and face-to-face assessments and evaluations.
• Collaborate with care management team and providers to ensure outcomes.
• Monitor progress toward outcomes and update care plans as needed.
• Follow established guidelines and coordinate with community services.
• Travel to Humana Oklahoma office for meetings/training when required.

Skills

Care coordination

Clinical assessment

Medicaid/Medicare experience

RN/LPC/LCSW license

Microsoft Office

Tools

Microsoft Office

Job description

Humana is seeking an Oklahoma-based telephonic Care Manager to assess enrollees, coordinate care plans, and facilitate access to resources. You will work with a multidisciplinary team to ensure holistic, person-centered care and optimal wellness for members.

The role requires clinical licensure (RN/LPC/LCSW), 1+ year of clinical experience, and 2+ years in care management, with travel to Humana offices for training as needed.