Care Manager, Telephonic Nurse 2-WAH-CT and MT
Humana

Omaha, Nebraska

Posted in Insurance


This job has expired.

Job Info


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 facilitate 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.

Responsibilities

Location: Candidates required to reside in a state with an eNLC licensure - Central and Mountain Time zones

Humana is seeking a Telephonic Care Manager for our Personal Nurse Program to provide one-on-one guidance to members who suffer from serious or chronic conditions, by providing them with information, resources and tools which increase the member's ability to manage their own condition and enable them to better understand their health care options and become active decision makers with their physician. In this role you will:

  • Apply your clinical knowledge to educate and empower your members, to take charge of their own healthcare decisions.
  • Provide guidance and clinical expertise on how to navigate through the health care setting.
  • Provide ongoing consultation with your patients via telephone to ensure that they are receiving the best quality of care possible.
  • Consult with your patients on how to ask the right questions and interpret complex medical content in an effort to enhance the member experience.
  • Coordinate community care and services as deemed appropriate.
  • Understand clinical program design, implementation, and management, monitoring and reporting.
  • Comply with performance and reporting standards as defined by Humana.
  • Travel may be up to 5%
  • Click here for a "day in the life" preview of the Care Manager position
Required Qualifications
  • Bachelor's degreein Nursing (B.S.N)
  • Active RN (Registered Nurse) license in the state(s) required to practice with no disciplinary action.
  • Must be licensed in an eNLC state with a current multi-state licensure
  • Ability to be licensed as a registered nurse in multiple states without restrictions
  • 5+ years or more in an acute care setting of clinical nursing experience
  • Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
  • Exceptional communication and interpersonal skills.
  • Ability to work independently under general instructions and with a team.
  • Solid experience using computers in order to navigate new internal software systems (ability to use 3-4 systems independently at a time)
  • Ability to learn how to use virtual information systems
  • Must have a separate room with a locked door that can be used as a home office to ensure you and your patient has absolute and continuous privacy while you work.
  • We will requirefull COVID vaccination for this job as we are ahealthcarecompany committed to putting health and safety first for our members, patients, associates and the communities we serve.
  • If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law.
  • Must have accessibility to high speed DSL or cable modem for a home office. Please note Satellite internet cannot be used for this role. Internet speeds must be at a minimum of 25Mbps Download by 10Mbps Upload for Cable Broadband
  • Ability to work a full-time (40 hrs. minimum) work schedule with availability to work between the hours of 8:30 a.m. and 8 p.m. with two evenings a week until 6 p.m. required
  • Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10-panel drug test.
Preferred Qualifications
  • Highly desired clinician with both physical and behavioral health background
  • Bilingual in Spanish is highly desired
  • Prior Managed Care experience
  • Call center or telephonic triage experience
  • Experience with case management, discharge planning and patient education for adult acute care
  • Certified Case Manager (CCM)
Additional Information

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor.This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40


This job has expired.

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