Care Manager, Nurse 2

Humana
7dRemote

About The Position

We are seeking a dedicated and compassionate Registered Nurse with a Bachelor of Science in Nursing (BSN) to join our team as a Care Manager, Telephonic Nurse 2. In this pivotal role, you will play a crucial part in our Patient Management Program, focusing on individuals with specialized and complex health conditions, including autoimmune disorders, pulmonary diseases, neuromuscular disorders, infectious diseases, cancer(s), and other rare ailments. As a Care Manager, Telephonic Nurse your primary responsibility will be to assess and evaluate the conditions of our members, with a particular emphasis on medication therapy, through telephonic interactions to ensure they achieve and maintain optimal wellness. Additionally, you will develop and implement comprehensive care plans, monitor patient progress through regular assessments, and utilize advanced telecommunication systems to provide medication education. The ideal candidate will demonstrate strong clinical expertise, exceptional communication skills, and the ability to work independently while adhering to established protocols and guidelines. This position offers the opportunity to make a significant impact on the lives of patients with serious and rare health conditions within a supportive and professional environment. This position is a call center based environment. There is a set schedule that is provided daily with inbound and outbound tasks to perform. M-F 8-430 EST Friday rotation Saturday rotation of 1 every 4 weeks. Overtime is required on an as needed basis. There is a Holiday rotation that will be worked. Workable holidays for the pharmacy include Martin Luther King Day, Memorial Day, Juneteenth, 4th of July, Labor Day, The day after Thanksgiving, and New Years Day. Use your skills to make an impact

Requirements

  • Bachelors of Science in Nursing (REQUIRED) MUST BE COMPLETED
  • 3 - 5 years of clinical acute care experience
  • Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action
  • Must live in OH, KY, FL, AZ, TX.
  • Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
  • Managed care experience
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  • Schedule Adherence

Nice To Haves

  • Experience with care management
  • patient education for adult care
  • auto dialer experience
  • Bilingual English/Spanish
  • Auto Dialer Experience

Responsibilities

  • Assess and evaluate the conditions of our members, with a particular emphasis on medication therapy, through telephonic interactions to ensure they achieve and maintain optimal wellness.
  • Develop and implement comprehensive care plans
  • Monitor patient progress through regular assessments
  • Utilize advanced telecommunication systems to provide medication education.

Benefits

  • Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
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