Description
The Care Manager, Telephonic Nurse 2 works in a telephonic environment, assessing and evaluating members' needs and requirements to achieve and maintain an optimal wellness state.
The role involves employing various strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.
Key responsibilities include:
- Identifying and resolving barriers to effective care
- Ensuring patients progress towards desired outcomes through continuous monitoring and active care planning
- Navigating multiple systems and using critical thinking skills
- Working with an assigned member population over the phone to perform health assessments, care planning, and education on chronic conditions and gaps in healthcare plans.
Required Qualifications:
- Bachelor's degree
- 3+ years of clinical acute care experience
- Licensed Registered Nurse (RN) in the state of Illinois with no disciplinary action
- Comprehensive knowledge of Microsoft Office applications, including Word, Excel, and Outlook
Preferred Qualifications:
- Experience with case management, discharge planning, and patient education for adult acute care
- Managed care experience
- Certified Case Manager (CCM)
- Bi-lingual (English/Spanish)
Work Arrangements:
- Remote position with possible occasional travel to Humana's offices for training or meetings
- Must have a dedicated workspace lacking ongoing interruptions to protect member PHI/HIPAA information
- Reliable internet service with a minimum download speed of 25 Mbps and an upload speed of 10 Mbps
Scheduled Weekly Hours: 40
Pay Range: $71,100 - $97,800 per year
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, and other opportunities