Stars Improvement Nurse Jobs

The Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Stars Improvement, Clinical Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Stars Improvement, Clinical Professional's work focuses on areas of clinical emphasis. 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

• Knowledge of HEDIS measures
• Unrestricted Registered Nurse
• 5 years or more telephonic member outreach experience
• Associate Degree in Nursing or higher

Preferred Qualifications

• Compact (multistate) Licensure
• Care/Case Management Experience

Work Hours: This is currently for 40 hours/week Monday-Friday.

Workstyle: Remote work at home

Location: United States

***PLEAE SUBMIT A RESUME WITH YOU APPLICATION***

Additional Information

Work-At-Home Requirements
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:

• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• 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.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
• 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

Social Security Task
Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from [email protected] with instructions to add the information into the application at Humana’s secure website.

Interview Format
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a first-round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will receive a set of interview questions over your phone, and you will provide recorded or text message responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

Why Humana?

At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few:

• Generous PTO package
• Health benefits effective day 1
• 401K – Immediate company match
• Annual Incentive Plan
• Student Loan Refinancing
• Well-being program
• Work-Life Balance
• Paid Volunteer Time Off

If you share our passion for helping people, we likely have the right place for you at Humana!

#LI-JM3; #LI-Remote

Scheduled Weekly Hours

40