Care Manager, Telephonic Nurse 2
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 members. The Care Manager, Telephonic Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
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.
+ Bachelors degree in Nursing (B.S.N)
+ Active RN (Registered Nurse) license in the state(s) required to practice with no disciplinary action.
+ Must reside in an eNLC state with multi-state licensure.
+ Ability to be licensed as a registered nurse in multiple states without restrictions.
+ 5+ years or more in an acute care setting of clinical nursing experience (i.e. hospital, ICU, etc)
+ Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
+ Exceptional communication and interpersonal skills.
+ Ability to work independently under general instructions and with a team.
+ Strong computer, web navigation and research skills.
+ Ability to learn how to use virtual information systems
+ Must have a separate room with a locked door that can be used as a home office to ensure you and your patient has absolute and continuous privacy while you work.
+ Must have accessibility to high speed DSL or cable modem for a home office. Please note Satellite internet cannot be used for this role. Internet speeds must be at a minimum of 10Mbps Download by 1Mbps Upload for Cable Broadband.
+ Ability to work a full-time (40 hrs minimum) work schedule with availability to work between the hours of 8:30 a.m. and 8 p.m. local time with two evenings a week until 7 p.m. local time required
+ Highly desired clinician with both physical and behavioral health background
+ Bilingual in Spanish is highly desired
+ Prior Managed Care experience
+ Call center or telephonic triage experience
+ Experience with case management, discharge planning and patient education for adult acute care
+ Certified Case Manager (CCM)
+ 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.
+ After submitting your application, if you are selected to move forward you will receive an email to complete the Virtual Job Experience (VJE). This is an online activity where you will learn more about RN Telephonic Care Manager jobs at Humana, try out some of the most common job tasks, and tell us more about yourself. Most people complete the VJE in 45 to 60 minutes. To complete it, you will need a computer or tablet with internet access, speakers/headphones, and an external keyboard (use of an on-screen keyboard is not recommended). We do not make job offers to candidates that do not complete the VJE. The VJE email will come from , please add to your contacts or safe senders list to avoid this going to your spam folder.
Scheduled Weekly Hours
Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms - when and where they need it. Our employees are at the heart of making this happen and that's why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
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It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.
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