Care Manager, Telephonic Nurse

Humana

1d • $71,100 - $97,800 • Remote

About The Position

As a remote Telephonic Care Manager, you will report to a Manager of Care Management. You will be providing a comprehensive, whole person care approach for Disease Management (DM) programs throughout the continuum of care. They will have personal interaction with beneficiaries to address clinical conditions identified through Predictive Analytics helping them develop healthy behaviors, understand their condition/disease, coping skills and treatment plan adherence, leading to decreased symptoms and complications of the condition/disease. You will serve as the point of contact for the beneficiary for all activities within the clinical spectrum. This will include coordination and collaboration within the Care Management programs, Military Treatment Facility (MTF) Utilization Management/Case Management/DM staff, physicians or providers to ensure there is a fully integrated care plan addressing all beneficiary needs and conditions.

Requirements

• U.S. Citizenship
• Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)
• Active RN license in state of employment
• 3 years of clinical or managed care RN experience
• Current CCM certification

Nice To Haves

• Bachelor's degree in nursing
• Experience with Case/Disease management programs
• Certified Diabetes or Asthma Educator
• TRICARE experience

Responsibilities

• Providing a comprehensive, whole person care approach for Disease Management (DM) programs throughout the continuum of care.
• Having personal interaction with beneficiaries to address clinical conditions identified through Predictive Analytics.
• Helping beneficiaries develop healthy behaviors, understand their condition/disease, coping skills and treatment plan adherence.
• Serving as the point of contact for the beneficiary for all activities within the clinical spectrum.
• Coordinating and collaborating within the Care Management programs, Military Treatment Facility (MTF) Utilization Management/Case Management/DM staff, physicians or providers to ensure there is a fully integrated care plan addressing all beneficiary needs and conditions.

Benefits

• medical
• dental
• 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

What This Job Offers

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