Care Manager Telephonic Nurse 2/ Adult and Pediatric Sickle Cell Disease - NORTH FL Counties

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Job Information

Humana

Care Manager, Telephonic Nurse 2/ Adult and Pediatric Sickle Cell Disease - NORTH FL Counties

in

Miramar Beach

Florida

Description

The Care Manager, Telephonic Nurse 2 , 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 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

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.

Identifies and resolves barriers that hinder effective care.

Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.

May create member care plans.

Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.

Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.

Follows established guidelines/procedures.

Required Qualifications

Unrestricted Registered Nurse (RN) License in FL with no disciplinary action

3 years' experience in an acute care setting (Medical Surgical, Heart, Lung or Critical Care), skilled or rehabilitation nursing experience

1 year Care/Case Management Experience

1 year Experience working with Adult and Pediatric Hematology and/or Sickle Cell Disease patients/members

Comprehensive knowledge of Microsoft Office applications, including Word, Excel, and Outlook.

Schedule:

Monday to Friday from 10:30 am to 7 pm.

Training:

6 weeks - Remote Monday - Friday 8:30 am - 5:00 pm

Work Location (Address): Work at Home - North Florida Counties

Travel (See additional Information below)

25% travel between onsite visits and also travel to office when needed in the North Florida Counties

Must have a Valid driver's license with reliable transportation and the ability to travel within the state of Florida, as required

This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

Screening Requirements

This role is considered patient-facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be tested for TB.

Associate working in the State of Florida will need Completion of a Level II; AHCA background clearance Fingerprinting.

For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.

If progressed to offer, you will be required to:

Provide proof of full vaccination or commit to testing protocols

*OR  *

Provide proof of applicable exemption including any required supporting documentation

Medical, religious, state and remote-only work exemptions are available.

Work At Home Requirements

Must have a separate room with a locked door that can be used as a home office to ensure you and your members have absolute and continuous privacy while you work.

Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required.

Preferred Qualifications

Bachelor's degree in Nursing

Prior experience with Medicare & Medicaid recipients

Certified Case Manager

Previous experience with electronic case note documentation and experience with documenting in multiple computer applications/systems.

Experience with health promotion, coaching and wellness.

Knowledge of community health and social service agencies and additional community resources.

Additional Information

Onsite Travel

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process.

#ThriveTogether #WorkAtHome

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice to enhance our hiring and decision-making ability. Modern Hire Voice 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.

If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed)

inviting you to participate in a Modern Hire Voice interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com