Certified Diabetes Care and Education Specialist - Telephonic Care Manager Nurse - Telephonic Remote Florida

Profile

Description

The Telephonic Care Manager Nurse 2 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 Telephonic Care Manager Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Telephonic Care Manager 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 reside in Florida

Required Qualifications

Unrestricted Licensed Registered Nurse (RN) in the state of Florida with no disciplinary action

Certified Diabetes Care and Education Specialist (CDCES)

3 - 5 years of clinical acute care experience

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

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Schedule: 8 hour shift Monday-Friday 8:30 AM-5:00 PM Eastern Time.

Travel: attend meetings in market office as needed, once restrictions are lifted (See additional Information) Travel requirements will be discussed during the interview

Training: 6-8 weeks in WAH office, virtually

Screening Requirements:

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

Work at Home/Remote Requirements

Must have a separate room for privacy with a locked door during working hours and during communication with members.

WAH requirements: 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 10x1 (10mbs download x 1mbs upload) is required. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Preferred Qualifications

Experience with case management, discharge planning and patient education for adult acute care

Knowledge of Milliman or Interqual

Managed Care experience, including Medicaid Managed Care

Certified Case Manager (CCM)

Bilingual in Spanish Preferred

BSN Preferred

Additional Information

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process.

#ThriveTogether #WorkAtHome

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