Full-Time Virtual Registered Nurse, Temp (day shift)
RoFull Time
Mid-level (3 to 4 years), Senior (5 to 8 years)
Licensed Registered Nurse (RN) in Illinois with no disciplinary action or the ability to obtain IL RN licensure is required, along with a minimum of 3 years of clinical acute care experience as a licensed RN. Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook is also necessary. Preferred qualifications include a Bachelor's degree in nursing (BSN), bilingual skills in English/Spanish, English/Polish, or English/Creole, experience with case management, discharge planning, and patient education for adult acute care, managed care experience, certification as a Case Manager (CCM), prior experience with Medicare & Medicaid recipients, experience with health promotion, coaching and wellness, and knowledge of community health and social service agencies.
The Telephonic Nurse Care Manager will provide personalized assessments, ongoing care planning, and expert guidance over the phone to members in Illinois. They will help members overcome barriers to care, manage chronic conditions, and connect with vital resources. The role involves performing health assessments, care planning, and education on chronic conditions and gaps in health care plans. Responsibilities include employing various strategies to manage members' physical, environmental, and psycho-social health issues, identifying and resolving barriers to effective care, and ensuring patient progress towards desired outcomes through continuous monitoring and active care planning. The nurse will also navigate multiple systems, utilize critical thinking skills, and occasionally travel for training or meetings.
Health insurance provider for seniors and military
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.