[Hiring] Care Manager, Telephonic Nurse 2 @Humana

Role Description

The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

• Employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.
• Identifies and resolves barriers that hinder effective care.
• Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
• May create member care plans.
• Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
• Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.
• Follows established guidelines/procedures.

Qualifications

• 3 or more years of clinical acute care experience
• Licensed Registered Nurse (RN) in the State of South Carolina with no disciplinary action
• Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook

Requirements

• Bachelor's degree (preferred)
• Experience with case management, discharge planning, and patient education for adult acute care (preferred)
• Managed care experience (preferred)
• Certified Case Manager (CCM) (preferred)
• Work at Home Requirements:
  • Minimum download speed of 25 Mbps and upload speed of 10 Mbps required.
  • Wireless, wired cable, or DSL connection is suggested.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Travel: Occasional travel to Humana's offices for training or meetings may be required.

Benefits

• Competitive benefits that support whole-person well-being.
• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave).
• Short-term and long-term disability.
• Life insurance and many other opportunities.

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 based on company and/or individual performance.