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Job Details

RN Care Manager Telephonic Nurse 2

Company name
Humana Inc.

Location
Portland, ME, United States

Employment Type
Full-Time

Industry
Healthcare, Nursing

Posted on
Aug 19, 2022

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Profile

Description

Full-Time Remote, Telephonic RN opportunity.

Humana Care Support is a division of Humana that is dedicated to helping adults remain independent in their homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. 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.

To be considered, you must have a current, active compact state license and reside in the state that holds your compact license.

Responsibilities

As a Care Manager, you will contact members with multiple chronic conditions as well as financial and functional barriers in order to assist them in achieving and maintaining optimum health.

Duties include:

Telephonically assess Medicare, Medicaid, Commercial, and/or and Group Account members in seven domains of functioning

Evaluate member needs and requirements to achieve and/or maintain optimal wellness state

Guide members and their families toward and facilitate interaction with resources appropriate for the care and wellbeing of members

Assess member's physical, environmental and psycho-social health issues and work in collaboration with a multi-disciplinary team, employing a variety of strategies and techniques to manage appropriately and provide timely intervention

All of our RN Care Managers are work at home associates, working from a dedicated home office space. Work at home care managers are responsible for meeting quality and productivity measures daily and maintaining working home internet at all time with demonstrated advanced communication and interpersonal skills.

Click here to learn about a Day in the Life of our remote RN Care Managers.

Humana Care Manager, Telephonic Nurse: Realistic Job Preview - YouTube (https://www.youtube.com/watch?v=pzahfomsbya)

Required Qualifications

Associates degree in Nursing

Current, Active Registered Nurse (RN) license with no disciplinary action.

Must have an active Compact nursing license PRIOR to applying for the role.

You must reside in the state that holds your compact license.

The National Council of State Boards of Nursing (NCSBN) developed the Nursing Licensure Compact (NLC), which is an agreement between states that allows nurses to have one license and the ability to practice in all the states that participate in the program.

Minimum of three (3) years of clinical nursing experience with an adult population.

Demonstrated clinical knowledge and expertise as evidenced by providing intervention to manage a variety of chronic conditions, including development and implementation of individualized care planning.

Intermediate to advanced computer skills as evidenced by ability to navigate multiple systems, utilizing dual computer monitors.

Ability to provide autonomous decision-making, troubleshooting and problem solving related to periodic system issues.

Experience with Microsoft Office and Excel.

Proficient typing and computer navigation skills.

Capacity to manage multiple or competing priorities including use of multiple computer applications simultaneously.

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 accessibility to high speed DSL or cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems is 25 MBS Downstream/ 10 MBS Up-Stream. A hard wired connection is required.

Preferred Qualifications

BSN or MSN degree in nursing or equivalent.

Bi-lingual in Spanish and English

Previous adult chronic conditions care management.

Previous experience in care management.

Knowledge of complex care management and care management principles. Experience with motivational interviewing.

Experience with MCG or CMS guidelines, assessment and documentation practice.

Case management certification.

Additional Information

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

ALERT: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

Scheduled Weekly Hours

40

Company info

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

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