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Job Information

Humana Care Manager, Telephonic Nurse 2 (Work at Home LA or MS) in Metairie, Louisiana

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

Job Description

Join our commitment to the whole person's health! 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. This role involves targeted telephone outreach calls to members that support quality stars measures and completion of recommended annual health screenings.

  • Focus on closing gaps in care by identifying and resolving barriers that hinder effective care

  • Address social determinants of health

  • Act as an advocate on the member's behalf by providing resources and patient education to help maintain a healthy lifestyle

  • Foster an environment that can provide the necessary and quality healthcare for our members to allow them to live out their best life

Required Qualifications

  • Licensed Registered Nurse (RN) or MSW in the (appropriate state) with no disciplinary action

  • 3-5 years of clinical experience preferably in an acute care, skilled, rehabilitation or home health clinical setting

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

  • Ability to work independently under general instructions and with a team

  • Ability to attend scheduled trainings and team meeting on location as needed

  • Ability to access and incorporate information from multiple systems

  • Comprehensive knowledge of Microsoft Word, Outlook and Excel

  • Excellent communication skills both verbal and written

  • 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

  • Education: BSN or Bachelor's degree in a related field

  • Previous Health Plan experience

  • Experience with case management, discharge planning and patient education for adult acute care

  • General knowledge of HEDIS and other Quality Stars measures

  • Certified Case Manager (CCM) a plus

Additional Information

  • Hours for this role are: Monday-Friday 8am-5pm CST

Scheduled Weekly Hours

40

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