Care Manager Telephonic Nurse 2-Remote Eastern Standard Time

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Job Information
Humana
Care Manager, Telephonic Nurse 2-Remote (Eastern Standard Time)
in
Indianapolis
Indiana
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
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
Bachelors degree in 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 (Eastern Standard Time Zone)
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.
Strong computer, web navigation and research skills.
Ability to effectively 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.
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
For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company 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 commit to testing protocols
*OR  *
Provide proof of applicable exemption including any required supporting documentation
​​Medical, religious, state and remote-only work exemptions are available.
Interview Process
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

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