RN Care Manager Telephonic Nurse 2 Obstetrics - Remote Leon/Duval County FL

Profile

Description

The RN Care Manager, Telephonic Nurse 2 (Obstetrics), works 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 well being of members. The RN Care Manager, Telephonic Nurse 2 (Obstetrics) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The RN Care Manager, Telephonic Nurse 2 (Obstetrics), 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.


This role requires 30 - 40% travel to onsite locations within 30 to 40 miles of Leon County or Duval County, FL (Note: Travel is suspended at this time due to business travel restrictions).


Required Qualifications:


An active unrestricted Florida Registered Nurse (RN) license.
Must live in in Leon or Duval County, FL.
3 years in hospital acute care experience.
2 years of experience of in obstetrics clinical to include working within the prenatal and postpartum population.
Experience with Maternity Mother and Baby.
Knowledge of community health and social service agencies and additional community resources for mom and baby.
Exceptional communication and interpersonal skills with the ability to quickly build rapport.
Ability to work with minimal supervision within the role and scope.
Previous experience with electronic case note documentation and experience with documenting in multiple computer applications/systems.
Intermediate to advanced computer skills in Microsoft Office programs specifically Word, Outlook, and Excel.
Excellent keyboard and web navigation skills.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
This role is a part of Humana's Driver Safety program and therefore requires and individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.
This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
AHCA Level II Fingerprint required.
Must have a separate room with a locked door that can be used as a home office to ensure you have absolute and continuous privacy while you work.
WAH requirements: 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. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.


Preferred Qualifications


Bachelor's degree, BSN.
Prior care management, managed care or referrals processing experience.
Experience with health promotion, coaching and wellness.
Previous experience in utilization management, Interqual/Milliman.
Prior experience with Medicare & Medicaid recipients.
Certification in Case Management (CCM).
Motivational Interviewing Certification and/or knowledge.
Bilingual (English/Spanish and/or Creole) a plus.


Additional Information:


Location: Work at Home with some travel onsite.
Travel: 30 - 40% (Note: Travel is suspended at this time due to business travel restrictions).
Work Days/Times : 10:30 am - 7:00 pm Eastern Standard Time (EST).
Training: 12 weeks - Virtual.
Language Proficiency Testing: Any Humana associate who speaks with a member in a language other than Spanish and/or English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Inter-agency Language Rating (ILR) test as provided by the Federal Government.


Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Montage, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice 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

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