Telephonic RN Care Manager

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Job Information
Humana
Telephonic RN Care Manager
in
Troy
Michigan
Description
The Care Manager, Telephonic RN, 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 RN 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.
The working hours for this position are between 8:00am-7:00pm central standard time; but core hours are primarily 8:00am-5:00pm central standard time.   
This position will work with an assigned member population over the phone performing health assessments, care planning, and education on chronic conditions and any gaps in their health care plans.  
Required Qualifications
3 - 5 years of clinical acute care experience
Licensed Registered Nurse (RN) with no disciplinary action and ability to apply for Illinois license
The working hours for this position are between 8:00am-7:00pm central standard time; but core hours are primarily 8:00am-5:00pm central standard time.   
Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
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
Preferred Qualifications
Certified Case Manager (CCM)
Experience with case management, discharge planning and patient education for adult acute care
Managed care experience
Prior experience with Medicare & Medicaid recipients 
Previous experience with electronic case note documentation and experienced 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
Work at home nationwide
The working hours for this position are between 8:00am-7:00pm central standard time; but core hours are primarily 8:00am-5:00pm central standard time.   
Scheduled Weekly Hours
40

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