Care Manager, Registered Nurse, RN

Humana • Carolina, SC

1d • Remote

About The Position

The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain an optimal wellness state. The Care Manager guides members/families toward and facilitates interaction with resources appropriate for the care and wellbeing of members. Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. 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. This role identifies and resolves barriers that hinder care and ensures patient progress 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.

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
• Self-provided internet service 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.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

• 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)

Responsibilities

• Assesses and evaluates members' needs and requirements to achieve and/or maintain an optimal wellness state.
• Guides members/families toward and facilitates interaction with resources appropriate for the care and wellbeing of members.
• 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 care.
• Ensures patient is progressing towards desired outcomes by monitoring patient care through assessments and evaluations.
• May create member care plans.
• Understands department, segment, and organizational strategy and operating goals, including their linkages to related areas.
• Follows established guidelines/procedures.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level