Telephonic Nurse Care Manager
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Job Description
Telephonic Registered Nurse Care Manager coordinating assessments, care plans, and resources for Humana patients. Supporting continuity of post-acute care through remote collaboration with healthcare providers.
Responsibilities:
- Coordinate care for patients with varied healthcare needs
- Assess patients’ healthcare needs and complete telephonic assessments
- Review patient information and clinical documentation
- Identify potential barriers to care and develop appropriate individualized care plans
- Provide education to patients and caregivers and answer questions about plans of care
- Collaborate with physicians, home health clinicians, hospitals, and other healthcare professionals
- Monitor patient progress and identify changes in condition
- Coordinate services and help patients access available healthcare resources
- Use clinical judgment to recognize potential concerns and escalate them
- Document patient interactions accurately and timely
- Maintain confidentiality and follow applicable policies and regulatory requirements
Requirements:
- Active and unrestricted Registered Nurse license
- 3–5 years of clinical acute care experience
- At least 2 years of home health experience
- Experience reviewing clinical information and using nursing judgment to identify patient needs
- Experience working with electronic medical records and other computer-based healthcare systems
- Previous experience in care management, case management, utilization management, or telephonic nursing preferred
- Experience coordinating care between hospitals, physicians, home health agencies, and other healthcare providers preferred
- Experience with patients who have chronic or complex medical conditions preferred
- Strong knowledge of healthcare resources, care coordination, and transitions of care preferred
- Experience working in a remote or telephonic clinical environment preferred
Benefits:
- Bonus incentive plan based upon company and/or individual performance
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Comprehensive benefits package supporting employee and family health and financial well-being
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