Care Manager, Telephonic Nurse 2 - Work at Home (AZ, CO , NM preferred)

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 members. The 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 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.

               

Required Qualifications

• 5 years of recent varied clinical experience
• Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action
• 2 plus years of case management experience
• Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required

Preferred Qualifications

• Bachelor's Degree in Nursing (BSN)
• Experience with discharge planning and patient education for adult acute care
• Knowledge of Milliman or Interqual
• Managed care experience
• Certified Case Manager (CCM)

Additional Information

• Hours for this role are: Monday-Friday, 8am-5pm MST
• 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 April 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.

Scheduled Weekly Hours

40