Care Manager, Telephonic Registered Nurse
Humana · Rhode Island, United States · 4 wk ago
RemoteRemoteHealthcare$71k–$98k/yrFull-time
We need to output HTML fragment with sections: headings for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content.
We need to parse the job posting.
Key content:
- Intro paragraph: "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."
These are duties/responsibilities.
- Required Qualifications: list bullet points: "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."
- 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."
- Additional Information: Training Schedule: first 4 weeks training work hours 8:30AM to 5:00PM ET, no time off first month. Work Schedule: after training, ET zone 9:00 AM to 5:30 PM ET; CT zone 10:00 AM to 6:30 PM ET. Work Environment: remote, work-at-home, dedicated home office, auto-dialer, multiple tech platforms, structured schedule, quality/productivity goals. "What Makes You Successful In This Role": bullet points about rapport, managing priorities, critical thinking, adapt, thrive in structured fast-paced environment. Work at Home Requirements: internet speed min 25 down/10 up, dedicated space, occasional travel. Scheduled Weekly Hours 40. Pay Range: $71,100 - $97,800 per year, bonus incentive plan. Description Of Benefits: medical, dental, vision, 401k, time off, disability, life insurance, etc. About Us: description of Humana. Equal Opportunity Employer boilerplate to remove.
We need to remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. So we should strip the Equal Opportunity Employer paragraph.
Also remove "About Us" maybe? It's not boilerplate but could be considered generic but it's substantive about company. The instruction: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." About Us is not explicitly listed to remove, but it's somewhat generic. However we can keep if it's substantive. But we might consider it as "About Us" not required heading; we could incorporate into a section like "About the role" or maybe not needed. The instruction says "Prefer a few substantive sections over many thin ones." So we could combine About Us into maybe a brief paragraph under "About the role" or separate "About Humana". But we have headings list: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can map content accordingly.
We need to decide which sections to include:
- About the role: could include introductory paragraph describing role, mission, etc.
- Responsibilities: list of duties.
- Requirements: maybe combine Required Qualifications and maybe some other mandatory items like license, years experience.
- Qualifications: maybe Preferred Qualifications.
- Skills: maybe list of skills like communication, critical thinking, tech proficiency, etc. Could be derived from Required Qualifications.
- Benefits: description of benefits.
- Pay: pay range and bonus.
- Schedule: training schedule, work schedule, weekly hours, work environment, etc.
We must not create sections with filler like "commensurate with experience". We have actual content for each.
We must not repeat job title as heading.
We must not put Job ID/requisition numbers as headings.
We must output only HTML fragment.
Let's craft.
We'll have:
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." The e.g. suggests those are examples but not exclusive? It says "use
for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content.
We need to parse the job posting.
Key content:
- Intro paragraph: "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."
These are duties/responsibilities.
- Required Qualifications: list bullet points: "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."
- 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."
- Additional Information: Training Schedule: first 4 weeks training work hours 8:30AM to 5:00PM ET, no time off first month. Work Schedule: after training, ET zone 9:00 AM to 5:30 PM ET; CT zone 10:00 AM to 6:30 PM ET. Work Environment: remote, work-at-home, dedicated home office, auto-dialer, multiple tech platforms, structured schedule, quality/productivity goals. "What Makes You Successful In This Role": bullet points about rapport, managing priorities, critical thinking, adapt, thrive in structured fast-paced environment. Work at Home Requirements: internet speed min 25 down/10 up, dedicated space, occasional travel. Scheduled Weekly Hours 40. Pay Range: $71,100 - $97,800 per year, bonus incentive plan. Description Of Benefits: medical, dental, vision, 401k, time off, disability, life insurance, etc. About Us: description of Humana. Equal Opportunity Employer boilerplate to remove.
We need to remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. So we should strip the Equal Opportunity Employer paragraph.
Also remove "About Us" maybe? It's not boilerplate but could be considered generic but it's substantive about company. The instruction: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." About Us is not explicitly listed to remove, but it's somewhat generic. However we can keep if it's substantive. But we might consider it as "About Us" not required heading; we could incorporate into a section like "About the role" or maybe not needed. The instruction says "Prefer a few substantive sections over many thin ones." So we could combine About Us into maybe a brief paragraph under "About the role" or separate "About Humana". But we have headings list: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can map content accordingly.
We need to decide which sections to include:
- About the role: could include introductory paragraph describing role, mission, etc.
- Responsibilities: list of duties.
- Requirements: maybe combine Required Qualifications and maybe some other mandatory items like license, years experience.
- Qualifications: maybe Preferred Qualifications.
- Skills: maybe list of skills like communication, critical thinking, tech proficiency, etc. Could be derived from Required Qualifications.
- Benefits: description of benefits.
- Pay: pay range and bonus.
- Schedule: training schedule, work schedule, weekly hours, work environment, etc.
We must not create sections with filler like "commensurate with experience". We have actual content for each.
We must not repeat job title as heading.
We must not put Job ID/requisition numbers as headings.
We must output only HTML fragment.
Let's craft.
We'll have:
About the role
Intro paragraph(s) describing Humana Care Support, role as Care Manager, Telephonic Nurse 2, purpose.
Responsibilities
- Assess members' physical, environmental, behavioral, and psychosocial health needs.
- Continuously assess 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.
Requirements
- Active, unrestricted Registered Nurse (RN) license in state of residence with active Compact (Multistate) licensure and no disciplinary action.
- Three 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 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 ability to effectively engage members through telephonic and virtual interactions.
Preferred Qualifications
- BSN or MSN degree.
- Managed care experience.
- Certified Case Manager (CCM).
- Bilingual (English and Spanish) with ability to read, write, and speak in both languages without limitations.
Benefits
Humana offers medical, dental and vision benefits, a 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 designed to support whole‑person well‑being.
Pay:Pay
The compensation range is $71,100 – $97,800 per year for full‑time (40 hours/week) employment, with eligibility for a bonus incentive plan based on company and/or individual performance.
Schedule:Schedule
- Training schedule: first 4 weeks, 8:30 AM – 5:00 PM Eastern Time; no time off permitted during the first month of training.
- After training: Eastern Time Zone associates work 9:00 AM – 5:30 PM ET; Central Time Zone associates work 10:00 AM – 6:30 PM ET.
- Scheduled weekly hours: 40 hours.
- Work environment: remote, work‑at‑home position requiring a dedicated home office workspace; majority of day spent engaging members telephonically via auto‑dialer; structured schedule with limited day‑to‑day flexibility; expectations to meet quality, productivity, and member outcome goals.
- Work‑at‑home requirements: minimum internet download speed 25 Mbps and upload speed 10 Mbps (wired cable, DSL, or wireless suggested); dedicated space free of interruptions to protect PHI/HIPAA information.
- Occasional travel to Humana offices for training or meetings may be required.