Job Overview
Employment Type
Full-time
Compensation
Type:
Salary
Rate:
Range $71,100.00 - $97,800.00
Work Schedule
Standard Hours
Day Shifts
Benefits
Medical insurance
Dental Insurance
Vision Insurance
401(k) retirement savings plan
Paid Time Off
Paid parental leave
Short-term and long-term disability insurance
Job Description
Humana Inc. is a leading health insurance and healthcare services company committed to putting health first for its teammates, customers, and the communities it serves. With a strong presence in the insurance sector and healthcare delivery through CenterWell services, Humana focuses on improving the quality of life for millions of people including those with Medicare, Medicaid, families, individuals, military service personnel, and broader communities. The company fosters a caring community atmosphere and supports the entire well-being of associates by providing competitive benefits that encourage personal wellness and smart healthcare decisions.
This particular opportunity is with Humana's Nurse Advice ... Show More
This particular opportunity is with Humana's Nurse Advice ... Show More
Job Requirements
- Active registered nurse (R.N.) multi-state/compact state license with no disciplinary action
- At least 3 years of clinical experience in an acute care, skilled or rehabilitation setting, home health, DME, triage, utilization, or case management
- Ability to work any 8-hour shift Monday through Friday, between 9:15am to 6:30 pm Eastern Standard time
- Ability to communicate effectively in both verbal and written format
- Ability to work independently, and within a team virtually
- Ability to meet productivity and quality expectations
- Ability to multi-task using multiple computer systems and platforms while talking and typing at the same time
- Proficient using MS Office (Word, Teams, OneNote and SharePoint) with ability to quickly learn and navigate new applications
Job Qualifications
- Active registered nurse (R.N.) multi-state/compact state license with no disciplinary action
- At least 3 years of clinical experience in an acute care, skilled or rehabilitation setting, home health, DME, triage, utilization, or case management
- Ability to communicate effectively in both verbal and written format
- Proficient using MS Office (Word, Teams, OneNote and SharePoint) with ability to quickly learn and navigate new applications
- Ability to work independently, and within a team virtually
- Ability to meet productivity and quality expectations
- Ability to multi-task using multiple computer systems and platforms while talking and typing at the same time
Job Duties
- Provide accurate and appropriate medical advice and right level of care guidance utilizing approved medical resources
- Utilize available resources to ensure members are aware of programs and services offered that may support their emotional and physical well-being
- Ensure members are receiving preventive health care services, are compliant with all medications and assist with coordination of any/all needed care
- Educate and assist member with plan education
- offer support with managing network participation by using your knowledge of members benefit plan and Humana approved resources
- Using established screening criteria to identify members for specific case management interventions as appropriate
- Provide assistance to members experiencing access to care concerns
Job Qualifications
Experience
Mid Level (3-7 years)
Job Location
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