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Care Manager, Registered Nurse, RN

đź•’ 2 days ago

🌴 South Carolina – Remote

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đź’µ $71.1k - $97.8k / year

⏰ Full Time

🟡 Mid-level

đźź  Senior

🦅 H1B Visa Sponsor

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Logo of Humana

Humana

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

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.

đź“‹ Description

• Assess and evaluate members' needs and requirements in a telephonic environment • Achieve and maintain members' optimal wellness state • Guide members and families toward appropriate care and wellbeing resources • Facilitate interaction with relevant care resources • Manage members' physical, environmental, and psychosocial health issues using varied strategies and techniques • Identify and resolve barriers that hinder care • Monitor patient care through assessments and evaluations to ensure progress toward desired outcomes • Create member care plans when needed • Follow established guidelines and procedures • Report to the Associate Director, Health Services Nursing

🎯 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 • South Carolina resident (preferred) • Bachelor's degree (preferred) • Experience with case management, discharge planning, and patient education for adult acute care (preferred) • Managed care experience (preferred) • Certified Case Manager (CCM) (preferred) • Minimum download speed of 25 Mbps and upload speed of 10 Mbps for home internet • Dedicated work space without ongoing interruptions to protect member PHI/HIPAA information

🏖️ Benefits

• 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 • Self-provided internet service for remote work • Remote work from a dedicated space to protect member PHI/HIPAA information

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