Care Manager, Telephonic Nurse
About the role
CenterWell Specialty Pharmacy is seeking a dedicated and compassionate Registered Nurse with a Bachelor of Science in Nursing (BSN) to join as a Care Manager, Telephonic Nurse 2. This role operates in a structured call-center environment where clinicians are engaged on the phone for the duration of their shift, delivering high-quality patient support and education. You will support the Patient Management Program, which focuses on individuals with specialized and complex health conditions, including autoimmune disorders, pulmonary diseases, neuromuscular disorders, infectious diseases, cancers, and other rare conditions. Your primary responsibility is to conduct comprehensive telephonic assessments and evaluations of members, with an emphasis on medication therapy management, providing detailed education on medication administration, potential side effects, and adherence strategies to promote therapeutic outcomes.
Responsibilities
- Deliver telephonic, patient-centered care in a structured call-center environment throughout the shift
- Provide medication education, including administration techniques, side effect management, and adherence support
- Develop and implement individualized care plans tailored to each member's clinical needs
- Monitor patient progress through ongoing assessments and follow-up interactions
- Collaborate within established protocols and using advanced telecommunication systems to ensure care delivery
Schedule
- 10am–6:30pm EST three days per week (Monday–Friday), and two days per week 11:30am–8pm EST
- Friday late night rotation: 11:30am–8pm
- Saturday rotation: 8:30am–12:30pm EST
- Overtime required on an as-needed basis
- Holiday rotation required for: Martin Luther King Day, Memorial Day, Juneteenth, 4th of July, Labor Day, the day after Thanksgiving, and New Years Day
Required Qualifications
- Bachelor of Science in Nursing (BSN) – must be completed
- 3–5 years of clinical acute care experience as an RN
- Licensed Registered Nurse (RN) in the appropriate state with no disciplinary action
- Must reside in OH, KY, FL, AZ, or TX
- Proficiency with comprehensive applications including Word, Excel, and Outlook
- Managed care experience
- Must be passionate about contributing to an organization focused on improving consumer experiences
- Schedule adherence
Preferred Qualifications
- Experience with care management and patient education for adult care
- Bilingual English/Spanish
- Auto dialer experience
Work at Home Requirements
- Self-provided internet service must meet at minimum a download speed of 25 Mbps and an upload speed of 10 Mbps; 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.
Pay
$71,100 – $97,800 per year. This job is eligible for a bonus incentive plan based upon company and/or individual performance.
Benefits
- 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