Telephonic Nurse Case Manager - Remote

Overview

The Telephonic Nurse Case Manager will provide a comprehensive, holistic approach to case management for TRICARE beneficiaries, ensuring coordination of care and support throughout the health continuum.

In Short

• Provide guidance and coordination of care for TRICARE beneficiaries.
• Assess, plan, implement, monitor, and evaluate medical services.
• Maintain confidentiality and adhere to ethical standards.
• Collaborate with healthcare teams and external programs.
• Utilize information sources to identify and enroll patients.
• Support Care Coordinators for beneficiaries not under case management.
• Work from home with specific internet requirements.
• Attend mandatory training during the first four weeks.
• Occasional travel to Humana's offices may be required.
• Full-time position with a salary range of $71,100 - $97,800 per year.

Requirements

• U.S. citizenship required.
• Current, valid, and unrestricted RN license.
• Minimum of Associate’s degree in Nursing.
• 2 years of case management experience.
• Active CCM designation required within the first year of hire.
• 3+ years of clinical nursing or managed care experience.
• Proficiency in Microsoft Office (Word, Excel, Outlook).
• Bachelor’s or Master’s in Nursing preferred.
• Experience in Utilization Management a plus.
• Bilingual in Spanish and English preferred.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off and holidays.
• Short-term and long-term disability.
• Life insurance and other opportunities.