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Telephonic Care Manager, RN – Women's Health
HumanaHumana telephonic RN managing women’s health and OB care for Florida members. Assessing needs, resolving care barriers, and guiding patients toward optimal outcomes.
Posted 8/4/2026full-timeRemote • Florida • 🇺🇸 United StatesMid-LevelSenior💰 $71,100 - $97,800 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient care management, including the development of care plans and the ability to assess and evaluate member needs. Proficient in navigating healthcare resources while ensuring compliance with HIPAA regulations and maintaining patient confidentiality.
Highest-signal resume keywords
Registered Nurse LicenseWomen's Health ExperienceCase Management ExperienceBilingual English/SpanishCertified Case Manager (CCM)
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Care ManagementCare Plan DevelopmentAssessment and EvaluationSubstance Use/Addiction ExperienceDischarge PlanningPatient Education
Soft Skills
Independent Decision-MakingProblem-SolvingInterpersonal Communication
Tools & Technologies
Microsoft OfficeTelehealth Platforms
Certifications & Qualifications
Registered Nurse License in FloridaCertified Case Manager (CCM)
Industry Keywords
Obstetric CareMental HealthSubstance AbuseManaged CareHIPAA Compliance
About the role
Key responsibilities & impact- Assess and evaluate OB members’ needs and requirements
- Guide members and families toward appropriate care and wellbeing resources
- Facilitate interaction with resources for member care
- Employ strategies to manage physical, environmental, mental health/substance abuse, and psychosocial health issues
- Identify and resolve barriers hindering effective care
- Continuously monitor patient care through assessments and evaluations
- Ensure patients progress toward desired outcomes
- Create member care plans when needed
- Make independent decisions regarding appropriate courses of action
- Report to the Regional CM Manager
Requirements
What you’ll need- Reside in Florida
- Registered Nurse license in the State of Florida with no disciplinary action
- 3+ years of Women's Health, Obstetric, or Labor & Delivery experience
- Comprehensive knowledge of Microsoft Office applications, including Word, Excel, and Outlook
- Tuberculosis (TB) screening
- AHCA II Level Background Clearance for associates working in Florida
- Work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information
- Minimum home internet speed of 25 Mbps download and 10 Mbps upload
- Preferred: BSN
- Preferred: 1+ year of Substance Use/Addiction/Behavioral/Mental Health experience
- Preferred: Experience with case management, discharge planning, and patient education
- Preferred: Bilingual English/Spanish or English/Creole
- Preferred: Managed care experience
- Preferred: Certified Case Manager (CCM)
Benefits
Comp & perks- Bonus incentive plan based on company and/or individual performance
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Personal wellness and smart healthcare decision support
- Remote work at home