Job Description

Description

The Care Manager, Telephonic Nurse 2 , 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 Nurse 2 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.

Required Qualifications

* Licensed Unrestricted Registered Nurse (RN) in the state of Florida
* 3+ years of clinical acute care experience
* 2 years experience with Case Management, discharge Planning and Patient Education for adult acute care
* Bilingual Spanish and pass Language Proficiency Assessment
* Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
* Reside in South Florida (Dade to Broward Counties)
* Monday-Friday 8:30 am to 5:00 pm OR 9:00 am 5:30 pm Eastern Standard Time
* Monthly onsite visits at facilities and as business needs.

Additional Requirements:

* Must have a separate room for privacy with a locked door during working hours and during communication with members.
* Must provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service are prohibited). A minimum standard speed of10x1 (10mbs download x 1mbs upload) for optimal performance of is required.
* Valid drivers license, car insurance, and access to an automobile
* This role is a part of Humanas Driver Safety program and therefore requires an individual to have a valid state drivers license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.
* This role is considered patient-facing and is part of Humanas Tuberculosis (TB) screening program. If selected for this role, you will be required to be tested for TB.
* CPR Certified

Preferred Qualifications

* Bachelor's degree
* Experience with case management, discharge planning and patient education for adult acute care
* Managed care experience
* Certified Case Manager (CCM)

Additional Information

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, 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