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 issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. May create member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
Humana At Home is a division of Humana that is dedicated to helping adults remain independent in their homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. We contact members with multiple chronic conditions as well as financial and functional barriers in order to assist them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering education, identifying resources, and helping remove barriers to achieving health and independence, while using a multidisciplinary team. All of our RN Care Managers are work at home associates, working from a dedicated home office space. Work at home care managers are responsible for meeting quality and productivity measures daily and maintaining working home internet at all time with demonstrated advanced communication and interpersonal skills.
Click here to learn about a “Day in the Life” of our remote RN Care Managers.
Telephonically assess Medicare, Medicaid, Commercial, and/or and Group Account members in seven domains of functioning
Evaluate member needs and requirements to achieve and/or maintain optimal wellness state
Guide members and their families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
Assess member’s physical, environmental and psycho-social health issues and work in collaboration with a multi-disciplinary team, employing a variety of strategies/techniques to manage appropriately and provide timely intervention
Active Registered Nurse (R.N.) license with no disciplinary action.
Hold an active Compact nursing license- must have prior to applying for the role
The National Council of State Boards of Nursing (NCSBN) developed the Nursing Licensure Compact (NLC), which is an agreement between states that allows nurses to have one license and the ability to practice in all the states that participate in the program. You must reside in the state that holds your compact license. License must be current with no disciplinary action.
Associates degree in Nursing
Seasoned professional nurse with a minimum of three years of clinical nursing experience.
Demonstrated clinical knowledge and expertise as evidenced by providing intervention to manage a variety chronic conditions, including development and implementation of individualized care planning.
Intermediate to advanced computer skills as evidenced by ability to navigate multiple systems, utilizing dual computer monitors.
Provide autonomous decision making, troubleshooting and problem solving related to periodic system issues.
Experience with Microsoft and Excel.
Proficient typing and computer navigation skills.
Capacity to manage multiple or competing priorities including use of multiple computer applications simultaneously.
Effective communication and interpersonal skills.
Effective problem solving and appropriate application of clinical knowledge
Must have a separate room with a locked door that can be used as a home-office to ensure you and your members have absolute and continuous privacy while you work.
Must possess advanced telephonic and virtual communication skills.
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 25 MBS Downstream/ 10 MBS Up-Stream. A hard wired connection is required
Able to work 40 hours per week between the hours of 8am-8pm EST with occasional Saturdays. Work schedule to be determined after offer is made and is in Eastern Standard ime.
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
BSN or MSN degree
Previous adult chronic conditions care management.
Previous experience in care management.
Knowledge of complex care management and care management principles.
Experience with motivational interviewing.
Experience with MCG or CMS guidelines, assessment and documentation practice.
Case management certification.
As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours