Telephonic Behavioral Health Care Manager RN- WAH Nationwide

Profile

Description

The Behavioral Health 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

Humana is seeking a Behavioral Health Care Manager to telephonically assess, evaluate, and support members who are challenged by both serious mental illness and complex medical situations. Our goal is to provide support for both mind and body to allow each member to achieve and/or maintain their optimal health.

The Behavioral Health 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. Will 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

Minimum 2 years in an integrated care setting managing members with both Medical and Behavioral Health needs and/or Substance Use

Licensed RN in a compact state

Intermediate comprehension of Microsoft Office applications including Word, and Outlook

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Effective communication and interpersonal skills

Effective problem solving and appropriate application of clinical knowledge

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

Must have accessibility to high speed DSL or cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems is 10M x 1M

Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10-panel drug test

Preferred Qualifications

Bachelor's degree

Experience working with disabled population

Experience with case management, discharge planning and patient education for adult acute care

Knowledge of Milliman or Interqual

Managed care experience

Certified Case Manager (CCM)

Additional Information

Schedule: Monday-Friday, 8AM-8PM EST (8 hour shifts)

After submitting your application, if you are selected to move forward you will receive an email to complete the Virtual Job Experience (VJE). This is an online activity where you will learn more about RN Telephonic Care Manager jobs at Humana, try out some of the most common job tasks, and tell us more about yourself. Most people complete the VJE in 45 to 60 minutes. To complete it, you will need a computer or tablet with internet access, speakers/headphones, and an external keyboard (use of an on-screen keyboard is not recommended). We do not make job offers to candidates that do not complete the VJE. The VJE email will come from vjtadmin@mg.jobtryout.net, please add to your contacts or safe senders list to avoid this going to your spam folder.

We may also contact you via text message and email to gather more information once the VJE is complete. We use a software platform called Montage. Montage Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.

Scheduled Weekly Hours

40

Company info

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