Care Manager Telephonic Nurse

Humana • Work at Home - Illinois, IL

2d • $71,100 - $97,800 • 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 optimal wellness state by guiding members/families toward and facilitating 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. 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. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Follows established guidelines/procedures. This position will work with an assigned member population over the phone performing health assessments, care planning, and education on chronic conditions and any gaps in their health care plans.

Requirements

• Bachelor's degree in Health related Field
• 3+ years of clinical acute care experience
• Licensed Registered Nurse (RN) in the state of Illinois with no disciplinary action and the ability to obtain IL RN licensure
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Nice To Haves

• Bilingual in English/Spanish, English/Polish, or English/Creole. Must be able to speak, read, and write in both languages without limitations or assistance.
• Certified Case Manager (CCM)
• Experience with case management, discharge planning and patient education for adult acute care
• Managed care experience
• Prior experience with Medicare & Medicaid recipients
• Previous experience with electronic case note documentation and experienced with documenting in multiple computer applications/systems
• Experience with health promotion, coaching and wellness
• Knowledge of community health and social service agencies and additional community resources

Responsibilities

• Assess and evaluate members' needs and requirements to achieve and/or maintain optimal wellness state.
• Guide members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.
• Manage a member's physical, environmental and psycho-social health issues using a variety of strategies, approaches and techniques.
• Identify and resolve barriers that hinder effective care.
• Ensure patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning.
• Perform health assessments, care planning, and education on chronic conditions and any gaps in their health care plans for an assigned member population over the phone.

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