Care Manager Telephonic Nurse 2 - Tampa FL

Profile

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

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.

Occasional travel (less than 20%, see additional information below)

Monday - Friday 10:30am-7pm

Required Qualifications

Unrestricted Licensed Registered Nurse (RN) in the Florida with no disciplinary action

5 years of clinical OB Maternity and Women's Health care experience

Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook

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

Additional Requirements

Hours: Monday - Friday 10:30am-7pm EST and be flexible due to the business needs

Work style: This position is considered remote/work at home

Location: Tampa, FL

Travel: To local Market office based on business needs to attend meetings and occasional travel to provider offices (See Additional Information)

Remote Work at Home Requirements:

Must ensure absolute and continuous privacy while you work within a home office or other remote location.

Must have accessibility to hardwired high speed internet with minimum speeds of 10Mx1M for a home office (Wireless and Satellite are prohibited)

Transportation: (See Additional Information)

Possession of a valid driver's license and access to a reliable automobile

This role is part of Humana's Driver Safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

TBA and AHCA

This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

AHCA Fingerprint Required.

Preferred Qualifications

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

Knowledge of Milliman or Interqual

Managed Care experience

Certified Case Manager (CCM)

Bilingual

Additional Information

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process.

#ThriveTogether #WorkAtHome

Interview Process

As a part of our hiring process for this opportunity, we will be using a technology called Modern Hire Text interview which allows us to quickly connect and gain valuable information from you about your relevant experience.

If you are selected for a phone screen, you will receive an email inviting you to participate in the Modern Hire Text Interview. During this call, you will be asked a set of questions pertaining to this particular role and you will provide recorded responses. The entire process takes about 15-20 minutes and can be done at your convenience. Your responses will be reviewed and you will be informed if you were selected for a person or video interview, depending on your location.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com