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Humana

Care Manager, Registered Nurse, RN

Case ManagementRNSouth CarolinaFull-timeRemote, South Carolina

Job description

We appreciate that you are interested in pursuing your next career opportunity. As you complete the application below, here are a few tips you should consider: • Visit Go/Develop for information on professional development, resume guidance, and interview best practices.​ • Watch a quick video to discover how Humana’s Career Framework can help you identify meaningful growth opportunities. • Visit Go/AskARecruiter for expert advice on your job search from our Talent Acquisition Team. • Tailor your resume to highlight achievements and skills that align with the role you're applying for. • Update your Workday profile to reflect your key accomplishments and experiences. • Please read the job description carefully and ensure you meet all required qualifications. • Consider having a conversation with your current leader about your career goals and interest in this opportunity. Their support can be valuable as you explore your next step. Job Profile Care Manager, Telephonic Nurse 2 Job Level Professional 2 Become a part of our caring community The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements. This is done to achieve and/or maintain optimal wellness state. The Care Manager guides members/families toward and facilitates 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. You will report to the Associate Director, Health Services Nursing. 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. • Identify and resolve barriers that hinder care. • Ensure patient is progressing towards desired outcomes by monitoring patient care through assessments and evaluations. • May create member care plans. • Understand department, segment, and organizational strategy and operating goals, including their linkages to related areas. • Follow established guidelines/procedures. Use your skills to make an impact ​

Responsibilities

Requirements

  • • 3 or more years of clinical acute care experience • Licensed Registered Nurse (RN) in the state of South Carolina with no disciplinary action • Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook • South Carolina Resident • Bachelor's degree • Experience with case management, discharge planning and patient education for adult acute care • Managed care experience • Certified Case Manager (CCM) Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Referral Bonus Information This requisition is not eligible for a referral bonus.

About Humana

Humana's Primary Care Organization operates 340+ senior-focused primary care centers across 15 states under the CenterWell and Conviva brands, providing value-based care to adult and geriatric patients. They hire Nurse Practitioners for part-time roles in collaborative, team-based primary care settings with lower patient volumes, and they hire bilingual Registered Nurses for remote telephonic care management positions supporting members with chronic and complex health conditions, requiring assessment, care planning, and coordination with interdisciplinary teams.

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