Care Manager, Nurse

Job Description Summary

We are seeking a dedicated and compassionate Registered Nurse with a Bachelor of Science in Nursing (BSN) to join our team as a Care Manager, Telephonic Nurse 2. In this pivotal role, you will play a crucial part in our Patient Management Program, focusing on individuals with specialized and complex health conditions, including autoimmune disorders, pulmonary diseases, neuromuscular disorders, infectious diseases, cancer(s), and other rare ailments.

As a Care Manager, Telephonic Nurse your primary responsibility will be to assess and evaluate the conditions of our members, with a particular emphasis on medication therapy, through telephonic interactions to ensure they achieve and maintain optimal wellness. Additionally, you will develop and implement comprehensive care plans, monitor patient progress through regular assessments, and utilize advanced telecommunication systems to provide medication education.

The ideal candidate will demonstrate strong clinical expertise, exceptional communication skills, and the ability to work independently while adhering to established protocols and guidelines. This position offers the opportunity to make a significant impact on the lives of patients with serious and rare health conditions within a supportive and professional environment.

This position is a call center based environment. There is a set schedule that is provided daily with inbound and outbound tasks to perform.

• M-F 8:00-4:30 EST
• Friday rotation
• Saturday rotation of 1 every 4 weeks
• Overtime is required on an as needed basis.
• There is a Holiday rotation that will be worked. Workable holidays for the pharmacy include Martin Luther King Day, Memorial Day, Juneteenth, 4th of July, Labor Day, the day after Thanksgiving, and New Years Day.

• Bachelors of Science in Nursing (REQUIRED) MUST BE COMPLETED
• 3 - 5 years of clinical acute care experience
• Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action
• Must live in OH, KY, FL, AZ, TX.
• Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
• Managed care experience
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Schedule Adherence

• Experience with care management, patient education for adult care, auto dialer experience
• Bilingual English/Spanish
• Auto Dialer Experience

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

40

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.

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 Center Well Pharmacy:
Center Well Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as…