• 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
• The first 4 weeks of training will be from 8:30AM to 5:00PM EST. No time off is permitted during the first month of training
• The nature of the work requires telephonic interaction with members during the majority of the business day, primarily through an auto dialer system
• Due to the auto dialer process and compliance needs of the business there is limited day to day flexibility in care manager’s schedule
• Telephonically assess Medicare, Medicaid, and/or and Group Account members and create actionable and measurable care plans to help guide and track the members' progress toward goals
• Use nursing judgment to assess and coordinate care for acute situations (APS, EMS)
• Discuss transitions of care to assist with safe discharge to the home and coordinate care for DME, home health, provider appointments, etc
• 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, such as social workers, dietitians, pharmacists, etc., employing a variety of strategies/techniques to manage appropriately and provide timely intervention

• Use your skills to make an impact
• 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

• Environment is fast paced and requires ability to engage quickly with member while concurrently navigating multiple computer applications
• Active 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
• 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:

You must provide your own HARD WIRED high-speed internet

• 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
• Benefits starting day 1 of employment
• Competitive 401k match
• Generous Paid Time Off accrual
• Tuition Reimbursement
• Parent Leave
• Go365 perks for well-being
• Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required
• Scheduled Weekly Hours
• 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
• 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