Care Manager, Telephonic Nurse

This is a fully remote position, open to applicants in Oklahoma.

📋 Description

• Evaluate and assess the needs and requirements of enrollees to help them attain or sustain optimal wellness.

• Direct enrollees and their families towards suitable care and wellbeing resources.

• Address the behavioral, physical, environmental, and psychosocial health needs of enrollees using a variety of strategies and techniques.

• Oversee assessments and evaluations to ensure that enrollees are making progress towards their desired outcomes.

• Identify and address obstacles to effective care.

• Develop care plans for enrollees/members.

• Conduct assessments and evaluations both telephonically and face-to-face.

• Apply clinical expertise to determine when in-person enrollee support is necessary.

• Engage relevant care management team members and facilitate in-person meetings.

• Collaborate with interdisciplinary care management teams, healthcare providers, and community services.

• Advocate for quality, cost-effective outcomes.

• Adhere to established guidelines and procedures.

• Occasionally travel to Humana's Oklahoma office for meetings, training, or other business requirements.

⛳️ Requirements

• Must reside in Oklahoma.

• Valid Registered Nurse (RN) license, Licensed Professional Counselor (LPC), or Licensed Clinical Social Worker (LCSW).

• At least 1 year of clinical experience.

• 2 or more years of experience in care management.

• Familiarity with coordinating services, care needs, or benefits for Medicaid and/or Medicare enrollees.

• Knowledge of community health and social service agencies, as well as additional community resources.

• Proficient in Microsoft Office applications, including Word, Excel, and PowerPoint.

• Case Management Certification (preferred).

• Bilingual Spanish speaking (preferred).

• Access to home internet with a minimum download speed of 25 Mbps and upload speed of 10 Mbps.

• A dedicated workspace free from interruptions to safeguard member PHI/HIPAA information.

🏝️ Benefits

• 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.

• Option for home or hybrid home/office work arrangements.

• Requirement for a dedicated workspace to protect member PHI/HIPAA information.

• Internet service requirements for remote employees.