Telephonic Care Manager, RN - Humana
Saint Paul, MN
About the Job
Become a part of our caring community and help us put health first
Are you a transitioning military service member or a Military Spouse looking for an internship that supports the goal to put health first?
The Care Management Registered Nurse, RN, Intern will utilize Humana's training and mentorships and engage formerly acquired skillsets to work with Humana Medicaid's member population. If you are interested in this position, you will be required to confirm eligibility to participate in the Department of Defense SkillBridge Internship or Hiring our Heroes Military Spouse Fellowship.
The Care Manager, Registered Nurse, RN, Intern will utilize Humana's Medicaid training and engage formerly acquired skillsets to assess and evaluate members' needs and determine necessities to achieve and/or maintain optimal wellness. Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
+ 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 with adult and/or pediatric population.
+ 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.
Use your skills to make an impact
Required Qualifications
+ Transitioning Service Member eligible to participate in SkillBridge or military spouse eligible to participate in the military spouse fellowship
+ Active unrestricted Licensed Registered Nurse (RN) in the state of residence or compact (eNLC) state license without disciplinary action
+ Clinical acute care experience in hospital floor, skilled, or rehabilitation setting
+ Comprehensive knowledge using Microsoft Office Word, Excel, PowerPoint, navigating multiple systems and platforms and ability to troubleshoot and resolve basic technical difficulties in a remote environment.
Additional Requirements / Adherence
Workstyle: Remote Work at Home
Work Schedule: Monday - Friday 8:00 AM to 5:00 PM Eastern Time
Travel: None
Work at Home Guidance 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 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
Preferred Qualifications
+ Possess an interest in working in the managed care industry
+ Experience with case management, discharge planning and patient education for adult acute care
+ Certified Case Manager (CCM)
+ Experience with intellectual function and adaptive behavior limitation population
+ Live in the state of Florida
Additional Information
The DOD SkillBridge Internship Program provides an opportunity for transitioning military service members to gain civilian work experience with an employer for a period between 90 and 180 days upon approval.
The Military Spouse Fellowship Program connects military spouses with employers offering a variety of professional onsite, field, or remote based opportunities.
+ Networking opportunities will be provided while participating in the Internship or Fellowship.
+ Due to factors such as location, and/or requirements that cannot be modified, full-time employment is not guaranteed upon completion of the Internship or Fellowship.
Workstyle: Remote Work at Home
Location: United States
Schedule: Monday through Friday 8:30 AM - 5:00 PM Eastern
Travel: None
Work At Home Guidance
+ 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
+ Associates 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 associates 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
Interview Format 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.
SSN Alert 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.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$31,200 - $85,100 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Are you a transitioning military service member or a Military Spouse looking for an internship that supports the goal to put health first?
The Care Management Registered Nurse, RN, Intern will utilize Humana's training and mentorships and engage formerly acquired skillsets to work with Humana Medicaid's member population. If you are interested in this position, you will be required to confirm eligibility to participate in the Department of Defense SkillBridge Internship or Hiring our Heroes Military Spouse Fellowship.
The Care Manager, Registered Nurse, RN, Intern will utilize Humana's Medicaid training and engage formerly acquired skillsets to assess and evaluate members' needs and determine necessities to achieve and/or maintain optimal wellness. Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
+ 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 with adult and/or pediatric population.
+ 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.
Use your skills to make an impact
Required Qualifications
+ Transitioning Service Member eligible to participate in SkillBridge or military spouse eligible to participate in the military spouse fellowship
+ Active unrestricted Licensed Registered Nurse (RN) in the state of residence or compact (eNLC) state license without disciplinary action
+ Clinical acute care experience in hospital floor, skilled, or rehabilitation setting
+ Comprehensive knowledge using Microsoft Office Word, Excel, PowerPoint, navigating multiple systems and platforms and ability to troubleshoot and resolve basic technical difficulties in a remote environment.
Additional Requirements / Adherence
Workstyle: Remote Work at Home
Work Schedule: Monday - Friday 8:00 AM to 5:00 PM Eastern Time
Travel: None
Work at Home Guidance 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 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
Preferred Qualifications
+ Possess an interest in working in the managed care industry
+ Experience with case management, discharge planning and patient education for adult acute care
+ Certified Case Manager (CCM)
+ Experience with intellectual function and adaptive behavior limitation population
+ Live in the state of Florida
Additional Information
The DOD SkillBridge Internship Program provides an opportunity for transitioning military service members to gain civilian work experience with an employer for a period between 90 and 180 days upon approval.
The Military Spouse Fellowship Program connects military spouses with employers offering a variety of professional onsite, field, or remote based opportunities.
+ Networking opportunities will be provided while participating in the Internship or Fellowship.
+ Due to factors such as location, and/or requirements that cannot be modified, full-time employment is not guaranteed upon completion of the Internship or Fellowship.
Workstyle: Remote Work at Home
Location: United States
Schedule: Monday through Friday 8:30 AM - 5:00 PM Eastern
Travel: None
Work At Home Guidance
+ 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
+ Associates 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 associates 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
Interview Format 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.
SSN Alert 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.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$31,200 - $85,100 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana
