Become a part of our caring community and help us put health first
 

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.

Location:  Must reside within following regions

Region 1: Walton or Okaloosa
Region 4: Duval, Volusia
Region 6: Hillsborough, Polk
Region 7: Orange and Osceola
Region 10: Broward

               

The Field Care Manager Nurse 2 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.

• 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.

Enhanced Care Coordination (ECC) ECC helps to connect children diagnosed with but not limited to Chronic medical conditions, congenital conditions, developmental disabilities, and learning disabilities to care services. The ECC Case Manager (CM) assists families (if applicable) to coordinate care services while respecting the families right to decide the appropriate care setting for the child. ECC CM will collaborate with health care providers to develop a treatment plan that aligns the child with the appropriate care services. ECC improves communication among health care providers, member, parent/guardian, systems, and agencies. ECC CM help to reduce duplication of efforts, ease transitions of care, limit gaps between service providers, and secure transportation or other support / enabling services.

Use your skills to make an impact
 

Required Qualifications:

Must meet one of the following requirements:

• Licensed Registered Nurse, (RN), in the state of Florida with no disciplinary action with a minimum of 2 years Pediatric acute care experience

• Licenses Practical Nurse, (LPN), in the state of Florida without disciplinary action with a minimum of 4 years Pediatric acute care experience

• Licensed Clinical Social Worker, (LCSW), with 1-year pediatric experience

Must meet all of the following requirements:

• Minimum 2 years complex care coordination, Enhanced Care Coordination (ECC)

• Intermediate or better working knowledge of Microsoft Office applications including Word, Excel, and Outlook

Additional Requirements / Adherence

Workstyle: Combination remote work at home and field based

Schedule: M-F 8:30 AM-5:00 PM coverage or overtime as business needs

Location:  Must reside within following regions

• Region 1: Walton or Okaloosa

• Region 4: Duval, Volusia

• Region 6: Hillsborough, Polk

• Region 7: Orange and Osceola

• Region 10: Broward

Travel:

• This is a field-based role and requires the ability to meet with members weekly in their homes or facilities as needed to support business needs.

Transportation: This role is part of Humana’s Driver safety program and therefore requires:

• Possession of a valid driver's license and access to a reliable automobile

• Proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits. to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

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 pa