Care Manager, Registered Nurse, RN

Become a part of our caring community

The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements. This is done to achieve and/or maintain optimal wellness state. The Care Manager guides members/families toward and facilitates 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.

You will report to the Associate Director, Health Services Nursing.

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.

• Identify and resolve barriers that hinder care.
• Ensure patient is progressing towards desired outcomes by monitoring patient care through assessments and evaluations.
• May create member care plans.
• Understand department, segment, and organizational strategy and operating goals, including their linkages to related areas.
• Follow established guidelines/procedures.

Required Qualifications

• 3 or more years of clinical acute care experience
• Licensed Registered Nurse (RN) in the state of South Carolina with no disciplinary action
• Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook

Preferred Qualifications

• South Carolina Resident
• Bachelor's degree
• Experience with case management, discharge planning and patient education for adult acute care
• Managed care experience
• Certified Case Manager (CCM)

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

$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.