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 our team as a Care Manager, Telephonic Nurse 2. You will operate where clinicians are engaged on the phone for the duration of their shift, delivering high-quality patient support and education. In this important role, you will support our 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.

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 (workable holidays: Martin Luther King Day, Memorial Day, Juneteenth, July 4th, Labor Day, day after Thanksgiving, New Year's 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 live 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, patient education for adult care, or auto dialer experience
• Bilingual English/Spanish
• Auto dialer experience

Work at Home Requirements

• Self-provided internet service must meet: minimum download speed of 25 Mbps and upload speed of 10 Mbps; wireless, wired cable, or DSL connection suggested
• Humana reserves the right to require associates to upgrade 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
• Many other opportunities