Telephonic Care Manager Nurse 2

Humana; Stevens Point (WI); Remote; USD 71,000 - 98,000; Full time

Job summary

A leading healthcare organization is seeking a Care Manager, Telephonic Nurse 2, to work remotely from Wisconsin. The role involves assessing members' health and well-being over the phone, providing support and guiding them toward necessary resources. Applicants need a Bachelor's degree and 3-5 years of relevant experience, particularly in clinical acute care or care management. This position offers competitive compensation and a dynamic work environment.

Benefits

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off

Short-term and long-term disability

Life insurance

Qualifications

• 3 - 5 years of experience in clinical acute care and/or care management.
• Licensed Registered Nurse (RN) in Wisconsin with no disciplinary action.
• Knowledge of discharge planning and patient education preferred.

Responsibilities

• Connect with members to assess their health needs.
• Guide members towards resources supporting their well-being.
• Conduct transitions of care activities to reduce readmissions.

Skills

Clinical acute care experience

Care management experience

Knowledge of Microsoft Office

Passion for improving consumer experiences

Education

Bachelor's degree

Job description

Become a part of our caring community and help us put health first

Are you passionate about making a positive impact on people’s lives? We invite you to consider joining our team as a Care Manager, Telephonic Nurse 2. In this role, you will connect with members and their families over the phone to assess their needs and help guide them toward resources that support their health and wellbeing. You’ll have the opportunity to work on a variety of cases, using your expertise to independently determine the best course of action for each situation.

If you are looking for a dynamic and rewarding position where your skills and compassion make a real difference, we encourage you to apply.

The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues.

• Perform all duties in alignment with the DHS contract for Medicaid Managed Care Organizations, specifically regarding the Wisconsin Interdisciplinary Care Team (WICT).
• Tailor assessments and interventions according to the member’s level of engagement, activation and with consideration of the member’s priorities.
• Conduct transitions of care activities to reduce readmissions.
• Actively problem solves with staff, members and providers in finding alternatives or solutions to their medical, behavioral health and social needs
• Assists with the oversight of care plans and prioritization of complex medical, behavioral health and social needs.
• Recognizes and acts in accordance with the nursing scope of practice and role within the interdisciplinary team. Concurrently, have an understanding and appreciation of the role and scope of practice of the other disciplines on the team to maximize effective collaboration in meeting the member’s needs.
• Participates and contributes to regular member staffings to keep the team informed of updates to the care plan, collectively problem solve and determine the enrollment/graduation of members.
• Serves as a consultative resource for other care management staff.
• Provides accurate and timely documentation per work processes and guidelines

Use your skills to make an impact

Required Qualifications

• Bachelor's degree
• 3 - 5 years of clinical acute care and/or care management experience
• Reside within the State of WI
• Licensed Registered Nurse (RN) in the WI with no disciplinary action
• Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Experience with discharge planning and patient education for adult acute care
• Managed care experience
• Certified Case Manager (CCM)

Additional Information:

• Workstyle: Home- Associates Home office environment is their primary work location, but they will use Humana office space on an as needed basis for collaboration and other face-to-face needs.

• Travel: 5-10% as needed

• Typical Workdays/Hours: Monday – Friday, 8:30 am – 5:00 pm CST

WAH Internet Statement:

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

• Satellite, cellular and microwave connection can be used only if approved by leadership.

• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

HireVue:

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

SSN Alert:

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [e-mail] with instructions on how to add the information into your official application on Humana’s secure website.

Travel:

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$71,100 - $97,800 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.