Telephonic Psychiatric Rn Care Manager

The Behavioral Health Care Manager, Telephonic Nurse, 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 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

Humana is seeking a Behavioral Health Care Manager to telephonically assess, evaluate, and support members who are challenged by serious mental illness and/or substance use. Our goal is to provide support for both mind and body to allow each member to achieve and/or maintain their optimal health.

The Behavioral Health Care Manager, Telephonic Nurse 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. 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

• Minimum 2 years in an integrated care setting managing members with both Behavioral Health needs and/or Substance Use
• Effective communication and interpersonal skills
• Intermediate comprehension of Microsoft Office applications including Word, Teams, and Outlook
• Effective problem solving and appropriate application of clinical knowledge
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Must have a separate room with a locked door that can be used as a home office to ensure you and your patients have absolute and continuous privacy while you work
• Active Registered Nurse (R.N.) license and possess the ability to be licensed as a registered nurse in multiple states without restrictions

Preferred Qualifications

• Certified Case Manager (CCM)
• Licensed RN in a compact state
• Managed care experience
• Experience with case management, discharge planning and patient education for adult acute care
• Bachelor's degree
• Spanish Speaking
• Experience working with disabled population
• Knowledge of Milliman or Interqual

Workstyle: Remote work at home

Schedule: Monday-Friday, 9am-6p in their respective time zone

Location: United States

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

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:

• 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
• Satellite, cellular and microwave connection can be used only if approved by leadership
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• 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:

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

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