RN Care Manager - Remote, nationwide at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Skills

Key technologies and capabilities for this role

Telephonic OutreachChronic Condition ManagementHealth EducationResource IdentificationBarrier RemovalMultidisciplinary Team CollaborationSpecial Needs Program (SNP)Advanced Communication SkillsInterpersonal SkillsComplianceComputer Application Navigation

Questions & Answers

Common questions about this position

Is this RN Care Manager position remote?

Yes, this is a fully remote, work-at-home position nationwide, requiring a dedicated home office space and reliable home internet.

What is the work schedule for this role?

The first 4 weeks of training are from 8:30 AM to 5:00 PM EST with no time off permitted, and following training, the start time is 10:00 AM EST. The schedule has limited day-to-day flexibility due to the auto dialer process and compliance needs.

What are the required qualifications for this position?

This information is not specified in the job description.

What is the company culture like for this team?

The role is part of a caring community focused on putting health first, centered on the person with a multidisciplinary team including social workers, dietitians, and pharmacists. It operates in a fast-paced, compliance-driven environment with high visibility at Humana.

What should I know about the training for this role?

The first 4 weeks of training are from 8:30 AM to 5:00 PM EST with no time off permitted during the first month.

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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