Womens Health Telephonic Care Manager

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Job Information
Humana
Women's Health Telephonic Care Manager
in
Naples
Florida
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 Women's Health Care Manager, Telephonic Nurse 2 will work 10:30 am - 7pm and employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, mental health/substance abuse and psycho-social health issues.
Role Overview
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.
Reside in Florida and occasionally attend meetings in the market office (See additional information)
This position is considered Remote in any of the following Florida Counties
Orange / Osceola / Seminole / Brevard / Sarasota, /Sarasota /De Soto /Charlotte / Glades, /Lee / Hendry, or Collier
Required Qualifications
Bachelor's Degree Nursing
Unrestricted Registered Nurse License in the State of Florida with no disciplinary action
3 - 5 years of Women's Health, Obstetric or Labor & Delivery experience
Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
Additional Requirements/Adherence
WorkSyle / Location:
This position is considered remote work at home in any of the following Florida Counties
Orange / Osceola / Seminole / Brevard / Sarasota, /Sarasota /De Soto /Charlotte / Glades, /Lee / Hendry, or Collier
Hours:
Must be able to work 40 hours a week Monday-Friday 10:30 AM - 7:00 PM
Covid Policy
Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.
Work-At-Home Requirements
WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Preferred Qualifications
1-2 years Substance Abuse/Addiction/Behavioral/Mental Health experience
Experience with case management, discharge planning and patient education
Bilingual English/Spanish or English/Creole
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 an email correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. (please be sure to check your spam or junk folders often to ensure communication isn't missed)
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.
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Scheduled Weekly Hours
40

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