Telephonic Nurse Care Manager

Become a part of our caring community
 

As a Telephonic Registered Nurse Care Manager, you will support patients by coordinating their care, assessing their healthcare needs, and helping ensure they receive the appropriate services and resources. You will be working fully remote and communicating with patients, caregivers, providers, and other members of the healthcare team. Your clinical experience will help you identify patient needs, provide education, and support safe care planning.

You will manage care for patients with a variety of healthcare needs. You will complete telephonic assessments, review patient information, identify potential barriers to care, and help develop appropriate care plans based on each patient's individual needs.

You will communicate with patients and caregivers to provide education, answer questions, and help them understand their plan of care. You will also collaborate with physicians, home health clinicians, hospitals, and other healthcare professionals to help ensure continuity of care.

Your responsibilities may include reviewing clinical documentation, monitoring patient progress, identifying changes in condition, coordinating services, and helping patients access available healthcare resources. You will use your clinical judgment and experience to recognize potential concerns and escalate them.

You will be expected to document patient interactions accurately and timely while maintaining confidentiality and following all applicable policies and regulatory requirements.

Use your skills to make an impact
 

Required Qualifications

• An active and unrestricted Registered Nurse license.
• 3–5 years of clinical acute care experience.
• at least 2 years of home health experience.
• Experience reviewing clinical information and using your nursing judgment to identify patient needs.
• Experience working with electronic medical records and other computer-based healthcare systems.

Preferred Qualifications

• Previous experience in care management, case management, utilization management, or telephonic nursing.
• Experience coordinating care between hospitals, physicians, home health agencies, and other healthcare providers.
• Experience working with patients who have chronic or complex medical conditions.
• Strong knowledge of healthcare resources, care coordination, and transitions of care.
• Experience working in a remote or telephonic clinical environment.

Scheduled Weekly Hours

40

Pay Range

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.

Description of Benefits

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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us
 

About OneHome: OneHome coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients’ homes. OneHome’s patient focused model creates one integrated point of accountability that coordinates with physicians, hospitals and health plans serving more than one million health plan members nationwide. OneHome was acquired by Humana in 2021 to advance value-based care. Our culture is inclusive, diverse, and above all, caring. It is important to us that our employees are engaged, supported and fairly treated. We offer a comprehensive benefits package to ensure the health and financial well-being of you and your family.

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.