[Hiring] Care Manager, Telephonic Nurse 2 @CenterWell

Role Description

We are seeking a dedicated and compassionate Registered Nurse with a Bachelor of Science in Nursing (BSN) to join our team as a Care Manager, Telephonic Nurse 2 within CenterWell Specialty Pharmacy. This role operates in a fast-paced, call center-based environment where clinicians are engaged on the phone for the duration of their shift, delivering high-quality patient support and education.

In this pivotal role, you will support our Patient Management Program, focusing on individuals with specialized and complex health conditions, including:

• Autoimmune disorders
• Pulmonary diseases
• Neuromuscular disorders
• Infectious diseases
• Cancers
• Other rare conditions

Your primary responsibility is to conduct comprehensive telephonic assessments and evaluations of members, with a strong emphasis on medication therapy management. You will provide detailed education on medication administration, potential side effects, and adherence strategies to promote optimal therapeutic outcomes.

Key responsibilities include:

• Delivering telephonic, patient-centered care in a structured call-center environment throughout the shift
• Providing medication education, including administration techniques, side effect management, and adherence support
• Developing and implementing individualized care plans tailored to each member’s clinical needs
• Monitoring patient progress through ongoing assessments and follow-up interactions
• Collaborating within established protocols and utilizing advanced telecommunication systems to ensure consistent, high-quality care delivery

The ideal candidate will bring strong clinical expertise, exceptional communication skills, and the ability to work independently in a structured, phone-based setting. This role requires comfort with sustained telephonic engagement and a commitment to delivering compassionate, patient-focused care.

This position offers the opportunity to make a meaningful impact on the lives of patients with complex and rare conditions while working in a supportive, professional, and mission-driven environment.

There is a set schedule that is provided daily with inbound and outbound tasks to perform:

• 10am-6:30pm EST three days a week M-F
• 11:30am-8pm EST two days a week
• Friday late night requirement on a rotation of 11:30am-8pm
• Saturday rotation hours of 8:30am-12:30pm EST
• Overtime is required on an as-needed basis
• Holiday rotation includes Martin Luther King Day, Memorial Day, Juneteenth, 4th of July, Labor Day, the day after Thanksgiving, and New Year's Day

Qualifications

• Bachelors of Science in Nursing (REQUIRED)
• 3 - 5 years of clinical acute care experience as an RN
• Licensed Registered Nurse (RN) in the appropriate state with no disciplinary action
• Must live in OH, KY, FL, AZ, TX
• Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
• Managed care experience
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Schedule adherence

Requirements

• Experience with care management, patient education for adult care
• Bilingual English/Spanish
• Auto Dialer Experience
• Work at Home Requirements: Minimum download speed of 25 Mbps and upload speed of 10 Mbps; wireless, wired cable or DSL connection is suggested
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
• Occasional travel to Humana's offices for training or meetings may be required

Benefits

• 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
• 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 upon company and/or individual performance.