RN Care Manager
Humana
full-time
Posted on:
Location Type: Remote
Location: United States
Visit company websiteExplore more
Salary
💰 $71,100 - $97,800 per year
About the role
- 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
Requirements
- 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.
- Minimum education of an Associates degree in Nursing.
- Minimum of 3 years of clinical RN experience.
- Experience using clinical knowledge to manage various chronic conditions, including development and implementation of individualized care planning.
- Proficient computer skills with ability to quickly learn and navigate multiple systems, utilizing dual computer monitors.
- Experience with Microsoft and Excel.
- Effective 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.
Benefits
- Benefits starting day 1 of employment
- Competitive 401k match
- Generous Paid Time Off accrual
- Tuition Reimbursement
- Parent Leave
- Go365 perks for well-being
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Registered Nurseclinical assessmentcare planningchronic condition managementtelephonic assessmentacute care coordinationmulti-disciplinary collaborationindividualized care planningnursing judgmentpsycho-social health assessment
Soft Skills
effective communicationinterpersonal skillsorganizational skillsteam collaborationproblem-solvingadaptabilityempathytime managementactive listeningfacilitation skills
Certifications
Active Registered Nurse licenseCompact nursing licenseAssociates degree in Nursing