Care Manager, Telephonic Nurse 2

🕒 6 days ago

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Logo of Humana

Humana

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Work as an Oklahoma-based, primarily telephonic care manager. • Assess and evaluate enrollees' needs and requirements to achieve or maintain optimal wellness. • Guide enrollees/families towards and facilitate interaction with appropriate resources for their care and wellbeing. • Collaborate with the interdisciplinary care management team including community health workers and housing support specialists. • Employ a variety of strategies, approaches, and techniques to manage an Enrollee’s behavioral, physical, environmental, and psycho-social health needs. • Create Enrollee care plans and ensure Enrollees are progressing toward desired outcomes by continuously monitoring their assessments and evaluations. • Identify and resolve barriers that hinder effective care.

🎯 Requirements

• Must reside in Oklahoma. • Active Registered Nurse (RN) license, Licensed Professional Counselor (LPC), or Licensed Clinical Social Worker (LCSW) • Minimum 1-year clinical experience. • 2 or more years of care management. • Experience working with Medicaid and/or Medicare Enrollees to coordinate services, care needs or benefits. • Knowledge of community health and social service agencies and additional community resources. • Exceptional communication and interpersonal skills with the ability to quickly build rapport. • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint.

🏖️ Benefits

• Health benefits effective day 1 • Paid time off, holidays, volunteer time and jury duty pay • Recognition pay • 401(k) retirement savings plan with employer match • Tuition assistance • Scholarships for eligible dependents • Parental and caregiver leave • Employee charity matching program • Network Resource Groups (NRGs) • Career development opportunities

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