Psychiatric RN, Care Management

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The Psychiatric RN, Care Management, Telephonic Nurse, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Nurse work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Humana is seeking a Psychiatric RN, Care Management to telephonically assess, evaluate, and support members who are challenged by serious mental illness and/or substance use. Our goal is to provide support for both mind and body to allow each member to achieve and/or maintain their optimal health.

The Psychiatric RN, Care Management, Telephonic Nurse 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 patients are progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.

The Psychiatric RN, Care Management will (this is not an exhaustive list but may be added to as business needs change and evolve ):

• Assessment and Planning

(perform assessment over the phone to identify needs and barriers, assess risk, and access to care needs)

Member Education (educating patients and families on psychiatric treatment options):

Care Coordination (partner with the interdisciplinary care team to connect members to providers, community health agencies, local support programs, and resources as needed)

Role Essentials

• Active Registered Nurse (RN) license
• Minimum 2 years in an integrated care setting managing members with both Behavioral Health needs and/or Substance Use such as crisis experience (includes ER), community mental health center, behavioral health inpatient, assertive community treatment, etc.
• Must possess the ability to be licensed as a registered nurse in multiple states without restrictions
• Proficiency with Microsoft Office Programs, e.g. Word, Excel & PowerPoint

Role Desirables

• Bachelor's degree
• Psychiatric RN Certification
• Licensed RN in a compact state
• Experience working with Medicare and/or Medicare/Medicaid population
• Managed care experience
• Spanish Speaking

Additional Information

You will report to the Manager, Care Management

The schedule for this remote telephonic position

• Eight (8) hour shift between 8:00 AM and 6:00 PM in your local time zone
• Occasional over time may be requested as business needs.

• 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
• Employees 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 employees 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

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

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.

40

$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.

Application Deadline: 09-22-2026

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