Job Opening RN Care Manager - Nationwide Requisition ID : 152880
RN Care Manager - Nationwide Requisition ID : 152880
Business Overview - Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
Description:
Role: Telephonic Care Manager Assignment: Humana At Home Location: Nationwide - Work at Home
Humana’s dream is to help our members and our own associates achieve lifelong well- being. Use your clinical experience to work with patients and providers in a nontraditional environment where your knowledge will make a difference. Our associates know their work is vitally important; we strive to ensure we provide perfect service with one-on-one member interactions as a coach, personal nurse, or clinical advisor. Humana’s Perfect Service® means getting the basics done right, delivering value and quality, providing guidance on needs, and being engaged with our members. We want to help our members make the right choices to live life fully. We begin that process by connecting our members with an associate who cares.
Assignment Capsule
Be a part of our Clinical Space –engage our members and guide them to develop lifelong wellbeing and health.
Humana is seeking a Care Manager to telephonically assess Medicare, Commercial and Group Account members in 7 domains of functioning; evaluate member needs and requirements to achieve and/or maintain optimal wellness state. You will guide members and their families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. Work in collaboration with a multi-disciplinary
team, employing a variety of strategies, approaches and techniques to manage a member’s physical, environmental and psycho-social health issues.
Other responsibilities include:
- Proactive telephonic outreach to eligible Humana members and engage participation in Humana At Home Complex Care Management program.
- Actively participate in all enrollment activities.
- Complete physical, psychological, emotional and environmental assessments, for
the purpose of providing appropriate, timely interventions to ensure provision of
optimal care.
- Coordinate community care and services as deemed appropriate.
- Works Collaboratively with other members of the Humana At Home Interdisciplinary team-to include; Humana At Home Care Managers-Social Services, Field Care Managers and Community Health Educators.
- Understand clinical program design, implementation, and management, monitoring and reporting.
- Comply with performance and reporting standards as defined by Humana Corporation.
- Additional responsibilities as deemed appropriate by Humana At Home leadership.
Qualifications:
Role Essentials
- Active Registered Nurse a (R.N.) license and possess the ability to be licensed as a registered nurse in multiple states without restrictions.
- Seasoned professional nurse with 3+ years of clinical nursing experience.
- Exceptional communication and interpersonal skills.
- Intermediate to advanced computer skills and experience with Microsoft word
and excel.
- Excellent keyboard and web navigation skills.
- Ability to use a variety of electronic information applications/software programs.
- Must have a separate room with a locked door that can be used as home offices
to ensure you and your patients have absolute and continuous privacy while you
work.
- Must have accessibility to high speed DSL or cable modem for a home office
(Satellite internet service is NOT allowed for this role); and recommended speed
for optimal performance from Humana systems is 10M x 1M.
- Ability to travel by air if necessary, work and train onsite plus additional travel as
needed for ongoing training.
- Able to work 40 hours per week between the hours of 8:00 a.m. and 8:00 p.m.
with occasional Saturdays.
- Associates working in the state of Arizona must comply with the Tobacco Free
Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10-panel drug test.
Role Desirables
- Bachelor’s degree in Nursing (B.S.N.).
- Previous telephonic case management experience working in the
medical/insurance field.
- Previous managed care experience.
- Previous work with vulnerable adults or the geriatric population.
- Basic knowledge of complex care management and care management
principles.
- Experience with motivational interviewing.
- Experience with behavior change, health promotion, coaching and wellness.
- Bilingual –Spanish, English.
Reporting Relationships
You will be in the Humana At Home area under the direction of a Humana At Home Coach.
Additional Information
At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to
become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely have the right place for you at Humana.
The following policy applies ONLY to associates working in the state of Arizona:
Humana is committed to providing a safe and healthy work environment and to promoting the health and well-being of its associates. Effective July 1, 2011, Humana has adopted a tobacco-free hiring policy that will promote a healthier workplace and will not hire users of tobacco and nicotine products. If you have any questions, please consult with your recruiter.
Schedule: Full-time PrimaryLocation: US
Other Locations: US-Minnesota-Minneapolis, US-Massachusetts-Boston, US-KY- Louisville, US-AR-Rogers, US-New Mexico-Albuquerque, US-Idaho-Meridian, US-New Hampshire-Portsmouth, US-Michigan-Troy, US-NV-Las Vegas, US-New Jersey-Jersey City, US-Oregon-Salem, US-OH-Cincinnati, US-South Dakota-Aberdeen, US- Pennsylvania-Pittsburgh, US-TN-Brentwood, US-GA-Atlanta, US-Connecticut- Bridgeport, US-Maine-Portland, US-Rhode Island-Newport, US-Maryland-Bethesda, US-Montana-Billings, US-Utah-Sandy, US-Illinois-Chicago, US-Washington-Vancouver, US-Virginia-Glen Allen, US-West Virginia-Charleston, US-AZ-Phoenix, US-WI-Green Bay, US-North Dakota-Fargo, US-Louisiana-Metairie, US-AL-Birmingham, US-Kansas-
Overland Park, US-Colorado-Colorado Springs, US-IN-Indianapolis, US-DC- Washington, US-Delaware-Dover, US-South Carolina-Lancaster, US-FL-Tampa, US- New York-Albany, US-Texas-San Antonio, US-Iowa-Davenport, US-North Carolina- Charlotte, US-Mississippi-Ridgeland, US-Nebraska-Omaha, US-Wyoming-Riverton, US- Oklahoma-Tulsa, US-Missouri-Springfield
Role: Clinical Innovations and Health Practitioners Work Environment Type: Virtual/Work At Home
Please review the rest of the role requirement/apply:
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