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DescriptionThe 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.ResponsibilitiesThis team provides coverage from 8am-8pm EST. The first 4 weeks of training will be from 8:30am-5pm EST. Start times after training will vary between 8am and 12pm EST.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.https://www.youtube.com/watch?v=pzAhfOMSbyA&feature=youtu.beDuties: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

Required QualificationsActive Registered Nurse (R.N.) license with no disciplinary action.

Hold an active Compact nursing license and reside in the state that holds your compact license.

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. License must be current with no disciplinary action.

Minimum education of an Associates degree in Nursing.

Seasoned RN with a minimum of 3 years of clinical nursing experience.

Demonstrated clinical knowledge and expertise as evidenced by providing intervention to manage 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

Ability to quickly learn and navigate software programs and applications.

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

Preferred QualificationsBSN or MSN degree in nursing or equivalent


Bi-lingual in Spanish and English

Previous adult chronic conditions care management

Previous experience in care management including knowledge of complex care management and care management principles

Experience with motivational interviewing

Experience with MCG or CMS guidelines, assessment and documentation practice

Individual licenses in non-compact states

Additional Information - How we Value YouBenefits starting day 1 of employment

Competitive 401k match

Generous Paid Time Off accrual

Tuition Reimbursement

Parent Leave

Go365 perks for well-being

Scheduled Weekly Hours40Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=HumanaWebsite.

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