Care Manager, Telephonic Nurse

🕒 il y a 4 jours

🌴 South Carolina – Distant

infoinfo

💵 $71 100 - $97 800 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

infoinfo

👻 Score fantôme 0%

infoinfo

🗣️🇺🇸🇬🇧 Anglais requis

Postuler Maintenant
Trouver des Emplois à Distance Similaires

📊 Vérifiez votre score de CV pour ce poste

Améliorez vos chances d'obtenir un entretien en vérifiant votre score de CV avant de postuler.

Logo of Humana

Humana

10 000+ employés

Fondée en 1961

🏥 Santé

🛡️ Assurance

⚕️ Assurance santé

Healthcare • Insurance • Healthcare Insurance

Humana est une entreprise de soins de santé dédiée à avoir un impact positif sur la santé des individus, des communautés et du système de santé dans son ensemble. En mettant la santé au premier plan, Humana sert une large gamme de populations diverses, y compris les seniors et les militaires, en proposant des plans Medicare Advantage HMO, PPO et PFFS. Humana s'engage à favoriser une culture d'appartenance et de respect mutuel, offrant des avantages compétitifs et flexibles pour assurer la sécurité financière de ses employés et de leurs familles. L'entreprise est fière de créer un environnement de travail inclusif où chacun a l'opportunité de réussir.

Description

• Conduct telephonic assessments to identify members’ clinical, behavioral, social, and environmental needs • Identify and resolve barriers to effective care or treatment adherence • Develop, implement, and update individualized care plans • Monitor member progress toward desired outcomes through ongoing assessment and evaluation • Provide education and support for chronic condition management and self-care • Coordinate care and facilitate access to providers, services, and community resources • Collaborate with members, families, providers, and interdisciplinary teams • Maintain timely and accurate documentation according to guidelines and quality and compliance requirements • Apply department, segment, and organizational policies and procedures • Manage assigned caseloads using independent judgment and available resources • Report to the Associate Director, Health Services Nursing • Travel up to 20% may be required for member outreach and meetings • Primarily work standard business hours, with schedule flexibility based on business needs

🎯 Exigences

• Active, unrestricted Registered Nurse (RN) license in South Carolina with multistate compact privileges and no disciplinary action • Must reside in South Carolina • 3+ years of recent acute care clinical nursing experience • Experience providing education and support for chronic condition management • Experience with community resource coordination • Proficiency with Microsoft Office applications, including Word, Excel, and Outlook • Strong documentation, multitasking, and computer navigation skills with basic troubleshooting • Minimum 25 Mbps download and 10 Mbps upload internet speed • Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information

🏖️ Avantages

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Home-based work arrangement • Dedicated workspace support for protecting member PHI/HIPAA information • Occasional travel to Humana offices for training or meetings

Postuler Maintenant

Emplois Similaires

🕒 il y a 4 jours

Magellan Health

1001 - 5000

💼 Conseil

🛡️ Assurance

🏥 Santé

Behavioral health care manager authorizing mental health and substance abuse treatment for Louisiana members. Reviewing utilization, coordinating discharge, and supporting quality care at Magellan Health.

🇺🇸 États-Unis – Télétravail

💵 $64 285 - $102 855 / an

💰 €101 000 000 Private Equity Round en 2004-01

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

👔 Manager

🦅 Parrain de Visa H1B

infoinfo

🗣️🇺🇸🇬🇧 Anglais requis

🕒 il y a 4 jours

Pfizer

10 000+ employés

💼 Conseil

📣 Marketing

💊 Pharmaceutique

Pfizer Access Care Manager guiding patient reimbursement, payer strategy, and therapy access. Supporting patients, healthcare providers, and internal teams across Puerto Rico.

🇺🇸 États-Unis – Télétravail

💵 $116 000 - $193 400 / an

💰 Post-IPO Debt en 2023-05

⏰ Temps Plein

🟠 Senior

🔴 Expert

👔 Manager

🦅 Parrain de Visa H1B

infoinfo

🗣️🇺🇸🇬🇧 Anglais requis

🗣️🇪🇸 Espagnol requis

🕒 il y a 4 jours

Pfizer

10 000+ employés

💼 Conseil

📣 Marketing

💊 Pharmaceutique

Pfizer Access Care Manager guiding patients through reimbursement, payer policy, and therapy access. Developing account strategies and coordinating HCP, payer, and patient-support stakeholders.

🇺🇸 États-Unis – Télétravail

💵 $116 000 - $193 400 / an

💰 Post-IPO Debt en 2023-05

⏰ Temps Plein

🟠 Senior

🔴 Expert

👔 Manager

🦅 Parrain de Visa H1B

infoinfo

🗣️🇺🇸🇬🇧 Anglais requis

🗣️🇪🇸 Espagnol requis

🕒 il y a 4 jours

RTX

10 000+ employés

🏭 Fabrication

💼 Conseil

📦 Logistique

Cloud infrastructure manager leading RTX’s enterprise cloud operations, compliance, and technical projects. Managing cloud administrators and shaping shared-services strategy for aerospace and defense systems.

🇺🇸 États-Unis – Télétravail

💵 $132 400 - $251 600 / an

⏰ Temps Plein

🟠 Senior

👔 Manager

🗣️🇺🇸🇬🇧 Anglais requis

🕒 il y a 4 jours

Fictiv

201 - 500

🚘 Automobile

📦 Logistique

🏥 Santé

Inventory Management Manager owning SKU strategy, replenishment, supplier coordination, and dead-stock reduction. Supporting MISUMI Americas’ digital manufacturing and component distribution business.

🇺🇸 États-Unis – Télétravail

💵 $125 000 - $150 000 / an

💰 €100 000 000 Series E en 2022-05

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

infoinfo

🗣️🇺🇸🇬🇧 Anglais requis