Humana

About Humana

 

Job Category:

Integrated Care & Care Operations - Care Management

Country:

United States

Approximate Salary:

Not Specified

Position Type:

Full time

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Care Manager, Telephonic Nurse 2

Humana - Work At Home, Alabama

Posted: 08/3/2018

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

  • Active licensed RN in state of employment
  • Three years clinical or managed care experience
  • Interqual (or Milliman) knowledge
  • Comprehensive knowledge of Microsoft Office applications including Word, and Excel
  • Case Management Certification (CCM)
  • Our Department of Defense Contract requires U.S. citizenship for this position
     

Preferred Qualifications

  • Experience with case management, discharge planning and patient education for adult acute care
  • Bachelor’s degree in nursing or health related field
  • Case management experience

Additional Information

Scheduled Weekly Hours

40

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