RN Care Manager- Telephonic Nurse
Are you a compassionate and experienced Registered Nurse looking for a meaningful career opportunity? Humana, a leading healthcare company, is seeking an RN Care Manager-Telephonic Nurse to join our dynamic team. In this role, you will have the opportunity to make a positive impact on the lives of our members by providing telephonic support and care coordination. We are looking for an individual with strong clinical skills, excellent communication abilities, and a passion for helping others. If this sounds like you, we encourage you to apply for this exciting opportunity and become a part of our caring and collaborative team.
- Provide telephonic support and care coordination for Humana members.
- Utilize strong clinical skills to assess and address members' healthcare needs.
- Communicate effectively with members, caregivers, and healthcare providers to coordinate care plans.
- Collaborate with interdisciplinary team to develop and implement individualized care plans.
- Monitor and evaluate members' health status and make appropriate recommendations for care.
- Educate members on disease management and preventative care strategies.
- Maintain accurate and timely documentation of all member interactions and care plans.
- Adhere to all regulatory and compliance guidelines.
- Continuously strive to improve quality of care and member satisfaction.
- Serve as an advocate for members and ensure their needs are met.
- Keep up-to-date with industry knowledge and best practices in telephonic nursing.
- Participate in team meetings and contribute to the development of policies and procedures.
- Collaborate with other departments to ensure seamless coordination of care.
- Demonstrate empathy and compassion towards members and their families.
- Represent Humana in a professional and positive manner at all times.
Active Rn Licensure: The Candidate Must Possess An Active And Unrestricted Rn License In The State Where They Will Be Working As A Telephonic Nurse For Humana.
Clinical Experience: A Minimum Of 3-5 Years Of Clinical Experience As A Registered Nurse Is Required For This Role, Preferably In A Care Management Or Telephonic Nursing Setting.
Care Management Certification: The Candidate Should Hold A Valid Certification In Care Management, Such As Certified Case Manager (Ccm) Or Accredited Case Manager (Acm), To Demonstrate Their Expertise In The Field.
Strong Communication Skills: As A Telephonic Nurse, The Candidate Will Be Responsible For Communicating With Members, Providers, And Other Healthcare Professionals On A Daily Basis. Therefore, Excellent Verbal And Written Communication Skills Are Essential.
Knowledge Of Medicare And Medicaid Regulations: Humana Is A Healthcare Company That Primarily Serves Medicare And Medicaid Populations. Therefore, The Candidate Must Have A Thorough Understanding Of These Programs, Their Regulations, And Reimbursement Guidelines.
Chronic disease management
Treatment planning
Case management
Health Coaching
medication management
Care planning
Patient assessment
Patient education
Care Coordination
Referral Management
Telehealth Monitoring
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Multitasking
Time management
creativity
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a RN Care Manager- Telephonic Nurse in Atlanta, GA, USA is $70,000-$90,000 per year. This can vary based on experience, education, and specific job duties.
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Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. Its strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people they serve across the country. The company operates its business through the following segments: Retail, Group, and Healthcare Services.
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