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 with sustained telephonic engagement, 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. Primary responsibilities include conducting comprehensive telephonic assessments and evaluations of members with an emphasis on medication therapy management, and providing detailed education on medication administration, potential side effects, and adherence strategies.
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
- 10:00am–6:30pm EST three days per week, Monday–Friday
- 11:30am–8:00pm EST two days per week, Monday–Friday
- Friday late night rotation: 11:30am–8:00pm
- Saturday rotation: 8:30am–12:30pm EST
- Overtime required on an as-needed basis
- Holiday rotation: 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 reside in OH, KY, FL, AZ, or TX
- Proficiency with 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
- Auto dialer experience
- Bilingual English/Spanish
Work at Home Requirements
- Minimum internet speed: 25 Mbps download / 10 Mbps upload; wireless, wired cable, or DSL 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, plus eligibility 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
- Additional opportunities