Care Manager, Telephonic Nurse

Welcome to Humana!

We are a leading healthcare company dedicated to helping people achieve their best health. We are currently seeking a Care Manager, Telephonic Nurse to join our team. In this role, you will have the opportunity to make a positive impact on the lives of our members by providing compassionate and personalized care over the phone. You will work closely with our members, their families, and healthcare providers to coordinate and manage their care plans. To excel in this role, you must be a Registered Nurse with a passion for providing exceptional patient care. If you are a self-motivated and detail-oriented individual with strong communication and critical thinking skills, we encourage you to apply for this exciting opportunity. Join our team and help us make a difference in the lives of our members every day!

Your Responsibilities

• Provide compassionate and personalized care to members over the phone.
• Collaborate with members, their families, and healthcare providers to develop and implement individualized care plans.
• Monitor and assess the health and well-being of members, identifying any potential issues or gaps in care.
• Coordinate and facilitate communication between members and their healthcare team to ensure continuity of care.
• Educate members and their families on their health conditions, treatment options, and self-management techniques.
• Utilize critical thinking skills to identify and address any barriers to care.
• Document all interactions and interventions accurately and in a timely manner.
• Maintain strict confidentiality and adhere to all HIPAA regulations.
• Adhere to Humana's policies and procedures, as well as industry standards and best practices.
• Stay up-to-date on healthcare trends and advancements in order to provide the best possible care to members.
• Collaborate with other members of the care team to ensure seamless delivery of care.
• Act as an advocate for members, ensuring their needs and preferences are considered in all aspects of care.
• Communicate effectively with team members, both verbally and in writing.
• Participate in ongoing training and professional development opportunities to enhance nursing skills and knowledge.
• Demonstrate a commitment to providing exceptional patient care and promoting a positive experience for members.
• Maintain a positive and professional attitude at all times, representing Humana in a positive light.
• Adhere to all ethical and legal standards, as well as company policies and procedures.
• Continuously evaluate and improve processes and procedures to enhance the overall member experience.
• Maintain accurate and up-to-date records and reports for tracking and reporting purposes.
• Collaborate with other departments within the company to ensure the best possible outcomes for members.

Equal Opportunity Employer Statement

Humana is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.