Remote Telephonic Care Manager RN – Women’s Health/ Substance Use

Humana

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Location: Tampa, FL
Location Type: Tampa – Remote
Schedule: Full_time
Req: R-313450

Description

 

The Women’s Health / Addiction Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates OB 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 /Addiction Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member’s physical, environmental, mental health/substance abuse and psycho-social health issues.

Shift Schedule: Monday through Friday 10:30 -7:00 PM Eastern

 

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)

               

Required Qualifications

  • Registered Nurse License in the State of Florida with no disciplinary action
  • Minimum 3 years of Women’s Health, Obstetric or Labor & Delivery experience
  • Minimum 1year Substance Use/Addiction/Behavioral/Mental Health experience
  • Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
  • Tuberculosis (TB) Screening This role is considered patient facing and is a part of Humana’s
  • AHCA II Level Background Clearance Associates working in the State of Florida will need AHCA Level II Background clearance
  • Work at Home Guidance To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
  • Satellite, cellular and microwave connection can be used only if approved by leadership
  • Associates 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 associates 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

Workstyle: Remote work at home

Location: Florida

Shift Schedule: Monday through Friday 10:30 -7:00 PM Eastern

Travel: occasion travel to market office for meetings

Preferred Qualifications

  • BSN
  • 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.

 

 

Scheduled Weekly Hours

 

40