电话护士护理经理
Telephonic Nurse Care Manager
成为我们关怀社区的一员
作为伊利诺伊州Humana Gold Plus-Integrated的电话护士护理经理，你将在真正改变我们的会员生活方面发挥关键作用。通过提供个性化的评估、持续的护理计划和电话上的专业指导，你将帮助会员克服护理障碍，管理慢性病，并与重要资源建立联系——赋能他们实现并保持最佳健康状态。你的临床专业知识和富有同理心的支持将产生持久的影响，帮助个人和家庭应对复杂的健康挑战，提升整体福祉。加入我们的团队，一个一个地带来改变。
· 在伊利诺伊州通过电话与指定的会员群体合作，进行健康评估、护理计划以及对慢性病和任何医疗计划缺口的教育。
- 采用多种策略、方法和技术来管理会员的生理、环境和心理社会健康问题。
- 识别并解决阻碍有效护理的障碍。
- 通过使用评估、数据、与会员的交谈和积极的护理计划，持续监控会员护理，确保其朝着预期结果进展。
- 在多个系统中导航并运用批判性思维技能。
用你的技能带来影响
所需资格
- 护理学士（BSN）或相关健康领域的学士学位。
- 伊利诺伊州持证注册护士（RN），无纪律处分记录或具备获得伊利诺伊州RN执照的能力。
- 至少3年的临床急性护理经验，作为持证注册护士。
- 具有健康促进、辅导和健康方面的经验。
优选资格
- 精通英语/西班牙语、英语/波兰语或英语/海地克里奥尔语。
- 具有病例管理、出院计划和成人急性护理患者教育的经验。
- 具有管理护理经验。
- 认证病例经理（CCM）。
- 具有医疗保险和医疗补助受益人的相关经验。
- 了解社区健康和社会服务机构及其他社区资源。
附加信息
- 工作方式：远程办公，居家办公。
- 常规工作日/时间：周一至周五，CST时间上午8:00至下午5:00，偶尔可能需要调整时间以满足会员需求。
居家办公要求：为确保居家或混合办公员工能够有效工作，需自备互联网服务。
查看英文原文
Become a part of our caring community
As a Telephonic Nurse Care Manager with Humana Gold Plus-Integrated in Illinois, you will play a pivotal role in truly transforming the lives of our members. By providing personalized assessments, ongoing care planning, and expert guidance over the phone, you will help members overcome barriers to care, manage chronic conditions, and connect with vital resources—empowering them to achieve and maintain their best possible health. Your clinical expertise and compassionate support will have a lasting impact, helping individuals and families navigate complex health challenges and improving their overall well-being. Join our team to make a difference, one member at a time.
· Works with an assigned member population in Illinois over the phone performing health assessments, care planning, and education on chronic conditions and any gaps in their health care plans.
- 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 use of assessment, data, conversations with member, and active care planning.
- Navigates multiple systems and uses critical thinking skills.
Use your skills to make an impact
Required Qualifications
- Bachelor's degree in nursing (BSN) or health related field.
- Licensed Registered Nurse (RN) in the state of Illinois with no disciplinary action or ability to obtain IL RN licensure.
- Minimum of 3 years of clinical acute care experience as a licensed RN.
- Experience with health promotion, coaching and wellness.
Preferred Qualifications
- Bilingual in English/Spanish, English/Polish, or English/Creole.
- Experience with case management, discharge planning and patient education for adult acute care.
- Managed care experience.
- Certified Case Manager (CCM).
- Prior experience with Medicare & Medicaid recipients.
- Knowledge of community health and social service agencies and additional community resources.
Additional Information
- Workstyle: Remote, work from home.
- Typical work days/hours: Monday – Friday, 8:00am – 5:00pm CST, occasional flexibility in scheduling may be required to accommodate member needs.
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$71,100 - $97,800 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Originally posted on Himalayas