RN Telephonic Care Manager - Remote, WA

Become a part of our caring community and help us put health first
 

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.

This 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.be

Duties:

• 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   

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Use your skills to make an impact
 

Required Qualifications

• Active Registered Nurse (R.N.) license with no disciplinary action.
• Hold an active Washington nursing license- must have prior to applying for the role
• Must be a Washington state resident
• Minimum of an Associates degree in Nursing
• Seasoned professional nurse 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.
• 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, including advanced telephonic and virtual communication 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.

Preferred Qualifications

• BSN or MSN degree in nursing or equivalent.
• Bi-lingual in Spanish and English
• 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.

Work-At-Home Requirements

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
• Satellite, cellular are NOT allowed for this position
• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Additional Information - How we Value You  
•    Benefits starting day 1 of employment 
•    Competitive 401k match  
•    Generous Paid Time Off accrual  
•    Tuition Reimbursement 
•    Parent Leave 
•    Go365 perks for well-being 

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$71,100 - $97,800 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.