Care Manager, Telephonic Registered Nurse

🔥 12 hours ago

🏈 Alabama, Florida, +24 more states – Remote

🏈 Alabama – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🦀 Maryland – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

💵 $71.1k - $97.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Telephonically support Medicare members with transitional care needs and complex chronic conditions • Assess members’ physical, environmental, behavioral, and psychosocial health needs • Continuously assess member progress and adjust care interventions • Develop, implement, and monitor individualized care plans • Connect members and families with healthcare, community, and social service resources • Coordinate care and collaborate with interdisciplinary teams • Apply clinical strategies and interventions to manage member health concerns • Evaluate risk factors and implement interventions to prevent avoidable hospitalizations and emergency department utilization • Identify and address social, financial, environmental, and functional barriers to care • Exercise clinical judgment and independent decision-making in a fast-paced care management environment • Engage members telephonically through an auto-dialer environment • Meet established quality, productivity, and member outcome goals • Occasionally travel to Humana offices for training or meetings

🎯 Requirements

• Active, unrestricted Registered Nurse (RN) license in state of residence • Active Compact (Multistate) licensure with no disciplinary action • Three (3) or more years of clinical acute care experience, including case management, discharge planning, and patient education for adult populations • Clinical expertise managing chronic conditions through assessment, care coordination, clinical intervention, and individualized care planning • Strong clinical assessment, critical thinking, and decision-making skills • Proficiency with Microsoft Office (Word, Excel, Outlook) • Ability to navigate multiple systems and applications simultaneously, including dual-monitor environments • Ability to manage multiple priorities in a fast-paced, telephonic care management environment • Advanced verbal and written communication skills for telephonic and virtual interactions • Dedicated home office workspace • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Ability to protect member PHI / HIPAA information in a dedicated workspace • BSN or MSN degree (preferred) • Managed care experience (preferred) • Certified Case Manager (CCM) (preferred) • Bilingual English and Spanish ability (preferred)

🏖️ 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 • Dedicated remote work-at-home arrangement • Training and onboarding program