Care Manager, Telephonic Nurse

🔥 17 minutes ago

🌪️ Oklahoma – Remote

🌪️ Oklahoma – Remote

💵 $71.1k - $97.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Humana

WebsiteLinkedInAll Job Openings

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.

📋 Description

• Assess and evaluate enrollees' needs and requirements to achieve or maintain optimal wellness • Guide enrollees and families toward appropriate care and wellbeing resources • Manage enrollees' behavioral, physical, environmental, and psycho-social health needs • Monitor assessments and evaluations to ensure progress toward desired outcomes • Identify and resolve barriers to effective care • Create enrollee/member care plans • Perform telephonic and face-to-face assessments and evaluations • Collaborate with providers and community services to promote quality and cost-effective outcomes • Work with an interdisciplinary care management team including community health workers, housing support specialists, SDOH coordinators, and care management support assistants • Determine when face-to-face enrollee support is required and coordinate in-person meetings • Follow established guidelines and procedures • Travel occasionally to Humana Oklahoma offices for meetings, training, or other business needs

🎯 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 • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint • Case Management Certification preferred • Bilingual Spanish Speaking preferred • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Dedicated work space without ongoing interruptions to protect member PHI / HIPAA information

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Home or hybrid home/office work arrangement • Dedicated workspace and internet service requirements for working from home

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