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Job details
Job type full-time
Full job description
The care manager, telephonic nurse 2 , in a telephonic environment, assesses and evaluates members` needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of membersThe care manager, telephonic nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Responsibilities
The care manager, telephonic nurse 2 employs a variety of strategies, approaches and techniques to manage a member`s physical, environmental and psycho-social health issuesIdentifies and resolves barriers that hinder effective careEnsures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluationsMay create member care plansUnderstands department, segment, and organizational strategy and operating objectives, including their linkages to related areasMakes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where neededFollows established guidelines/procedures.
Required qualifications
Associate degree
3-5 years of clinical acute care experience
Licensed registered nurse (rn) in the (appropriate state) with no disciplinary action
Bilingual (spanish)
Comprehensive knowledge of microsoft office applications including word, excel, and outlook
Hours are 9am-5:30pm
Preferred qualifications
Bachelor`s degree
Experience with case management, discharge planning and patient education for adult acute care
Knowledge of milliman or interqual
Managed care experience
Certified case manager (ccm)
Additional information
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called modern hire to enhance our hiring and decision-making abilityModern hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected, you will receive correspondence inviting you to participate in a modern hire assessmentYou will have a set of questions and you will provide responses to each questionYou should anticipate this to take about 15 – 20 minutesYour answers will be reviewed and you will subsequently be informed if you will be moving forward to next round.
Alert: humana values personal identity protectionPlease be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on fileWhen required, an email will be sent from [email protected] with instructions to add the information into the application at humana’s secure website.
Additional information:
Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including covid-19 boostersAssociates who remain unvaccinated must either undergo weekly negative covid testing or wear a mask at all times while in a humana facility or while working in the field
Scheduled weekly hours
40
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Job activity
Posted 30 days ago
