Care Manager, Telephonic Registered Nurse

We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Use

• for any list of duties/requirements/benefits, and

  for prose. Do NOT repeat job title as heading. Do NOT put Job ID/requisition numbers as headings. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. Preserve all substantive info; do not invent or summarize away detail. Include a section ONLY when posting has real, specific content for it — never emit heading followed by filler/placeholder text (e.g., "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless posting actually states them. Prefer few substantive sections over many thin ones. We need to parse the posting. Key sections: - Intro: "Become a part of our caring community Humana Care Support is a division of Humana dedicated to helping adults remain independent in their homes. At Humana, our nurses are called Care Managers because our approach is centered on the whole person, not just their condition. In this role, you'll serve as a trusted advocate and partner, helping members navigate the healthcare system and achieve their health goals through compassionate, person-centered care. The Care Manager, Telephonic Nurse 2 partners with members and their families to improve health outcomes through comprehensive assessment, care coordination, and ongoing support. You will help members remain independent in their homes by identifying healthcare needs, removing barriers to care, and connecting members with clinical, community, and social resources that support their overall well-being. Telephonically support Medicare members with transitional care needs and complex chronic conditions." Then bullet list of duties: - Assess members' physical, environmental, behavioral, and psychosocial health needs. - Continuously assessing member progress and adjust care interventions to support optimal health outcomes. - Develop, implement, and monitor individualized care plans as appropriate. - Connect members and families with appropriate healthcare, community, and social service resources. - Coordinate care and collaborate with interdisciplinary teams to address member needs and improve outcomes. - Employ a variety of clinical strategies and interventions to manage member health concerns. - Evaluate member risk factors and implement interventions designed to prevent avoidable hospitalizations and emergency department utilization. - Identify and address barriers to care, including social, financial, environmental, and functional challenges. - Exercise sound clinical judgment and independent decision-making in a fast-paced care management environment. Then "Required Qualifications" heading. List: - An active, unrestricted Registered Nurse (RN) license in state of residence with active Compact (Multistate) licensure with no disciplinary action. - Three (3) or more years of clinical acute care experience, including case management, discharge planning, and patient education for adult populations. - Demonstrated clinical expertise managing chronic conditions through assessment, care coordination, clinical intervention, and individualized care planning. - Strong clinical assessment, critical thinking, and decision-making skills. - Proficiency with Microsoft Office (Word, Excel, Outlook) and the ability to efficiently navigate multiple systems and applications simultaneously, including dual-monitor environments. - Ability to manage multiple priorities in a fast-paced, telephonic care management environment. - Advanced verbal and written communication skills, including the ability to effectively engage members through telephonic and virtual interactions. Then "Preferred Qualifications": - BSN or MSN degree. - Managed care experience. - Certified Case Manager (CCM). - Bilingual (English and Spanish); with the ability to read, write, and speak in both languages with no limitations or assistance. Then "Additional Information" includes: - Training Schedule: The first 4 weeks of training work hours will be from 8:30AM to 5:00PM Eastern Time (ET). Please note that no time off is permitted during the first month of training, as full attendance is required to successfully complete the onboarding and training program. - Work Schedule: After training, Associates residing in the Eastern Time Zone (ET) will work from 9:00 AM to 5:30 PM ET. Associates residing in the Central Time Zone (CT) will work from 10:00 AM to 6:30 PM ET. - Work Environment: This is a remote, work-at-home position requiring a dedicated home office workspace. Care Managers spend the majority of their day engaging members telephonically through an auto-dialer environment. The role requires the ability to build rapport quickly while navigating multiple technology platforms simultaneously. Due to business and regulatory requirements, schedules are highly structured with limited day-to-day flexibility. Care Managers are expected to meet established quality, productivity, and member outcome goals while demonstrating strong communication and relationship-building skills. - What Makes You Successful In This Role: bullet list: - You build rapport quickly and create meaningful connections with members in a telephonic environment. - You are comfortable managing multiple priorities while navigating several technology platforms simultaneously. - You use critical thinking and sound clinical judgment to address complex member needs. - You adapt quickly to changing priorities, workflows, and business requirements. - You thrive in a structured, fast-paced environment while maintaining a high level of quality and member focus. - 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 40 - Pay 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 year This 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: boilerplate to remove. We need to remove EEO boilerplate, duplicated lines, application instructions, cookie/navigation/legal etc. Also remove "About Us" maybe? It's not a required heading but could be considered "About the role"? Actually "About Us" is company description; we could include as a section maybe "About the company"? The instruction says use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings but suggests those as examples. We can include "About the role" for intro description. "Responsibilities" for duties list. "Requirements" maybe combine required and preferred? Could separate "Required Qualifications" and "Preferred Qualifications". But we need to avoid thin sections. Perhaps combine required and preferred into "Qualifications". But we have both required and preferred; we could have two sub-sections? The instruction: Use

  for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can have sections: About the role, Responsibilities, Required Qualifications, Preferred Qualifications, Benefits, Pay, Schedule. Also maybe "Work Environment" or "Work at Home Requirements" could be part of Responsibilities or separate? Might be considered "Work Environment". But we should prefer few substantive sections over many thin ones. However we have a lot of info; we could group some. We need to include Pay and Schedule sections because posting states them. Benefits also stated. So we must include Benefits, Pay, Schedule. We need to avoid filler like "commensurate with experience" etc. Not present. We need to preserve all substantive info; do not invent or summarize away detail. So we must keep all details from posting, but we can format them as lists or paragraphs. We must not repeat job title as heading. Not needed. We must not put Job ID/requisition numbers as headings. None present. We must remove boilerplate: EEO, maybe also "About Us" could be considered boilerplate? It's substantive about company but not required. The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. "About Us" is not explicitly listed as boilerplate, but could be considered company overview. It's substantive but maybe we can keep as a section "About the company". However the instruction says prefer a few substantive sections over many thin ones. Adding another section may be okay if it's substantive. But we already have many sections: About the role, Responsibilities, Required Qualifications, Preferred Qualifications, Benefits, Pay, Schedule, Work Environment, Work at Home Requirements, What Makes You Successful, Training Schedule maybe part of Schedule. Could combine. We need to decide on a minimal set that captures all info without losing detail. Potential sections: - About the role (intro paragraph) - Responsibilities (list of duties) - Qualifications (could split required and preferred as sub-lists) - Benefits (list) - Pay (paragraph with range and bonus) - Schedule (training schedule and work schedule) - Work Environment & Requirements (maybe combine) - Success Factors (What Makes You Successful) maybe part of Responsibilities or separate. But we need to avoid too many thin sections. However each of these has substantive content. We could combine Work Environment, Work at Home Requirements, and What Makes You Successful into a section "Working Conditions" or similar. But the instruction only gave examples; we can create other headings if needed, but better to stick to given examples if possible. However we can still use other headings as long as they are meaningful. The instruction: "Use

  for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It doesn't forbid other headings, but suggests those as examples. It says "Prefer a few substantive sections over many thin ones." So we should aim for maybe 5-6 sections. We could structure: - About the role (intro) - Responsibilities (duties) - Qualifications (required and preferred) - Benefits - Compensation (Pay) - Schedule (training and work hours) - Work Environment (including remote, internet, travel, success factors) That's 7 sections. We need to ensure we don't create sections with filler. All have content. Now we need to format using

  for each heading, then content: either

  for prose or