Care Manager, Telephonic Nurse

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

📋 Description

• Conduct telephonic assessments to determine members’ clinical, behavioral, social, and environmental needs.

• Identify and address barriers to effective care or treatment adherence.

• Develop, implement, and periodically update personalized care plans.

• Monitor member progress toward achieving desired outcomes through continuous assessment and evaluation.

• Provide education and support for managing chronic conditions and self-care.

• Coordinate care and facilitate access to providers, services, and community resources.

• Collaborate with members, families, providers, and interdisciplinary teams.

• Maintain timely and precise documentation in accordance with guidelines and quality and compliance requirements.

• Apply departmental, segmental, and organizational policies and procedures.

• Manage assigned caseloads utilizing independent judgment and available resources.

• Report to the Associate Director of Health Services Nursing.

• Occasional travel (up to 20%) may be necessary for member outreach and meetings.

• Primarily work during standard business hours, with schedule flexibility depending on business necessities.

⛳️ Requirements

• Active, unrestricted Registered Nurse (RN) license in South Carolina with multistate compact privileges and no disciplinary actions.

• Must be a resident of South Carolina.

• Over 3 years of recent acute care clinical nursing experience.

• Experience in providing education and support for chronic condition management.

• Familiarity with community resource coordination.

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

• Strong skills in documentation, multitasking, and computer navigation, along with basic troubleshooting abilities.

• Minimum internet speed of 25 Mbps download and 10 Mbps upload.

• Ability to work from a dedicated space 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.

• Home-based work arrangement.

• Dedicated workspace support to protect member PHI/HIPAA information.

• Occasional travel to Humana offices for training or meetings.