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Care Manager, Telephonic Nurse

Roles & Responsibilities

  • Bachelor of Science in Nursing (BSN) required
  • 3-5 years of clinical acute care RN experience
  • Licensed RN in OH, KY, FL, AZ, or TX with no disciplinary action
  • Proficiency with Microsoft Office (Word, Excel, Outlook) and managed care experience

Requirements:

  • Conduct telephonic assessments of members with complex conditions focusing on medication therapy to optimize wellness
  • Develop and implement comprehensive care plans and monitor patient progress through regular assessments
  • Provide medication education via telecommunication systems and support adherence
  • Adhere to established protocols and guidelines in a call-center environment and maintain schedule adherence

Job description

Become a part of our caring community
 

We are seeking a dedicated and compassionate Registered Nurse with a Bachelor of Science in Nursing (BSN) to join our team as a Care Manager, Telephonic Nurse 2. In this pivotal role, you will play a crucial part in our Patient Management Program, focusing on individuals with specialized and complex health conditions, including autoimmune disorders, pulmonary diseases, neuromuscular disorders, infectious diseases, cancer(s), and other rare ailments.

As a Care Manager, Telephonic Nurse your primary responsibility will be to assess and evaluate the conditions of our members, with a particular emphasis on medication therapy, through telephonic interactions to ensure they achieve and maintain optimal wellness. Additionally, you will develop and implement comprehensive care plans, monitor patient progress through regular assessments, and utilize advanced telecommunication systems to provide medication education. The ideal candidate will demonstrate strong clinical expertise, exceptional communication skills, and the ability to work independently while adhering to established protocols and guidelines. This position offers the opportunity to make a significant impact on the lives of patients with serious and rare health conditions within a supportive and professional environment.

This position is a call center based environment. There is a set schedule that is provided daily with inbound and outbound tasks to perform.

  • This position is for 10am-6:30pm EST three days a week M-F, and two days a week hours of 11:30am-8pm EST.
  • There will be a Friday late night requirement on a rotation of 11:30am-8pm.
  • There will be a Saturday rotation hours of 8:30am-12:30pm EST.
  •  Overtime is required on an as needed basis.
  • There is a Holiday rotation that will be worked. Workable holidays for the pharmacy include Martin Luther King Day, Memorial Day, Juneteenth, 4th of July, Labor Day, The day after Thanksgiving, and New Years Day.


Use your skills to make an impact
 

Required Qualifications

  • Bachelors of Science in Nursing (REQUIRED) MUST BE COMPLETED!
  • 3 - 5 years of clinical acute care experience as an RN.
  • Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action
  • Must live in OH, KY, FL, AZ, TX.
  • Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
  • Managed care experience
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  • Schedule Adherence

Preferred Qualifications

  • Experience with care management, patient education for adult care, auto dialer experience
  • Bilingual English/Spanish
  • Auto Dialer Experience

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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
 

About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.


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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.

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