Care Manager, Telephonic Nurse

🔥 1 minute 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 psychosocial health needs using varied strategies and techniques • Monitor assessments and evaluations to ensure enrollees 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 • Determine when face-to-face enrollee support is required using clinical expertise • Engage appropriate care management team members and coordinate in-person meetings • Collaborate with interdisciplinary care management teams, providers, and community services • Promote quality and cost-effective outcomes • Follow established guidelines and procedures • Travel occasionally to Humana's Oklahoma office 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 • 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 Microsoft Office applications, including Word, Excel and PowerPoint • Case Management Certification (preferred) • Bilingual Spanish speaking (preferred) • Home internet with minimum download speed of 25 Mbps and upload speed of 10 Mbps • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

🏖️ Benefits

• Bonus incentive plan based upon 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 or hybrid home/office work arrangement • Dedicated workspace requirement to protect member PHI/HIPAA information • Internet service requirements for home employees