Care Manager Registered Nurse RN

Profile

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

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. 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.

Must be able to pass Bilingual Spanish Language Proficiency Assessment

Must physically reside in Broward or Miami-Date County Florida

Required Qualifications

Unrestricted Registered Nurse (RN) License in FL with no disciplinary action

3 years' experience in an acute care setting (Medical Surgical, Heart, Lung or Critical Care), skilled or rehabilitation nursing experience

Intermediate/Advanced typing and computer navigation skills using multiple systems, platforms, and an ability to troubleshoot and resolve general technical difficulties

Comprehensive knowledge of Microsoft Office applications, including Word, Excel, and Outlook.

Bilingual English and Spanish Language Proficiency Assessment will be performed to test fluency in reading, writing and speaking in both languages

Additional Requirements/Adherence

Workstyle: Remote Work at Home/Onsite Field Visits (see travel below)

Location: Broward or Miami-Dade County

Schedule:

Remote Training 6 weeks: Monday-Friday 8:30 AM - 5:00 PM

Regular Work Schedule: Monday-Friday 10:30 AM - 7:00 PM

Eligibility for shift differential upon transition to regular work schedule

Travel:

10% travel monthly between onsite visits and also travel to office when needed

Remote Work at Home Requirements

Must have a separate room with a locked door that can be used as a home office to ensure you and your members have absolute and continuous privacy while you work.

Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 25x10 (25mbs download x 10mbs upload) is required.

Driver's License, Insurance, and Automobile Policy

Must have a valid driver's license with reliable transportation and the ability to travel within the state of Florida, as required

This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

Humana's Tuberculosis (TB) and AHCA Screening Requirements

This role is considered patient-facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be tested for TB.

Associate working in the State of Florida will need Completion of a Level II; AHCA background clearance Fingerprinting.

Covid Policy

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters.

Associates who remain unvaccinated must either undergo weekly negative COVID testing

OR

wear a mask at all times while in a Humana facility or while working in the field.

Preferred Qualifications

Bachelor's degree in Nursing

Prior experience with Medicare & Medicaid recipients

Experience with case management

Certified Case Manager

Previous experience with electronic case note documentation and experience with documenting in multiple computer applications/systems.

Experience with health promotion, coaching and wellness.

Knowledge of community health and social service agencies and additional community resources.

Additional Information

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice to enhance our hiring and decision-making ability. Modern Hire Voice 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.

If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate in a Modern Hire Voice interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com