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Become a part of our caring community and help us put health first

Humana Gold Plus Integrated is seeking a RN, Care Manager, Telephonic Nurse 2 who will assess and evaluate member’s needs with emphasis on discharge planning on preventing rehospitalization, monitoring, and managing chronic conditions effectively, in a telephonic environment. This position supports members in addressing their health care needs by helping them access appropriate services, skills, and support needed to achieve optimal health and life functioning independence in the community. The RN, Care Manager, Telephonic Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

+ Strengthens care management activities and supports improving members well-being, reducing unnecessary healthcare costs and enhancing healthcare delivery.

+ Assesses, monitors, and evaluates members’ chronic condition as well as provide and document meaningful interventions and outcomes.

+ Provides episodic care coordination focusing on education and support to enhance lifestyle modifications and self-management techniques.

+ Collaborate with Care Coordinators and other identified care team members as needed along with utilization management (UM) staff, physicians and providers as necessary and arrange services necessary to address the member’s condition and current needs.

+ May contribute to interdisciplinary care planning and meetings.

+ Meet requirements for contractual and regulatory compliance.

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

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

+ Follows established guidelines/procedures.

+ Other duties as required.

Use your skills to make an impact

Required Qualifications

+ **Applicants are required to live in the state of Illinois.**

+ An active, unrestricted Registered Nurse (RN) license in the state of Illinois.

+ Three (3) or more years of clinical experience as a RN with demonstrated expertise in educatingpatients/members on the management of chronic health conditions.

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

+ Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel.

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

+ Exceptional oral and written communication.

Preferred Qualifications

+ Bachelor's degree in nursing (BSN).

+ Case Management Certification (CCM).

+ Managed Care experience.

+ Certified Diabetes Educator.

+ Certified Asthma Educator.

Additional Information

+ **Workstyle:** This is remote position.

+ **Travel:** Occasionally to onsite team engagement meetings in Humana’s Schaumburg, IL office.

+ **Work Schedule** : Monday - Friday; 8:00 AM - 5:00 PM Central Standard Time (CST).

+ **Language Assessment Statement:** Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

WAH Internet Statement

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 required; 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.

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.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

$71,100 - $97,800 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

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.

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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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.