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.

Responsibilities

This team provides coverage from 8am-8pm EST. The first 4 weeks of training will be from 8:30am-5pm EST. Start times after training will vary between 8am and 12pm EST.

Humana At Home is a division of Humana that is dedicated to helping adults remain independent in their homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. We contact members with multiple chronic conditions as well as financial and functional barriers in order to assist them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering education, identifying resources, and helping remove barriers to achieving health and independence, while using a multidisciplinary team. All of our RN Care Managers are work at home associates, working from a dedicated home office space. Work at home care managers are responsible for meeting quality and productivity measures daily and maintaining working home internet at all time with demonstrated advanced communication and interpersonal skills.

Click here to learn about a "Day in the Life" of our remote RN Care Managers.

https://www.youtube.com/watch?v=pzAhfOMSbyA&feature=youtu.be

Duties:

• Telephonically assess Medicare, Medicaid, Commercial, and/or and Group Account members in seven domains of functioning
• Evaluate member needs and requirements to achieve and/or maintain optimal wellness state
• 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, employing a variety of strategies/techniques to manage appropriately and provide timely intervention

Required Qualifications

• 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.
• Bi-lingual in Spanish and English. Must be able to pass a language proficiency test.
• 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 (including Excel) 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 with capacity to manage multiple or competing priorities including use of multiple computer applications simultaneously.
• Effective communication and interpersonal skills with advanced telephonic and virtual communication skills.
• 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.

Preferred Qualifications

• BSN or MSN degree in nursing or equivalent
• CCM
• Previous adult chronic conditions care management along with knowledge of complex care management and care management principles
• Experience with motivational interviewing
• Experience with MCG or CMS guidelines, assessment and documentation practice
• Individual licenses in non-compact states

Work at Home Requirements

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:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
• Satellite, cellular and microwave connection can be used only if approved by leadership
• 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.
• 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

Scheduled Weekly Hours

40