Nurse Advice Line Telephonic Nurse - RN Compact License States Only

at Humana in Boise, Idaho, United States

Become a part of our caring community and help us put health first

The Care Manager, Telephonic Nurse , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Nurse work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Location: Remote, RN candidate must have a valid Compact State License

The Nurse Advice Line is an inbound call center that provides Humana members with nursing advice. A Telephonic Nurse provides medical guidance, assists with access to care concerns, screens for program referrals, provides information on the importance of preventive screenings or medication adherence and is trained to act as a clinical concierge.

The NAL Telephonic Nurse role is a remote position, with oversight from the NAL Manager; and they are expected to work independently with minimal supervision. The NAL Telephonic Nurse performs other duties as assigned.

+ Provide accurate and appropriate medical advice and right level of care guidance utilizing approved medical resources.

+ Utilizing available resources and benefits ensure member is aware of programs and services offered that may support their emotional and physical well-being.

+ Ensure members are receiving preventative health care services, complaint with all medications and assist with coordinating 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 identify members for specific case management interventions as appropriate.

+ Provide assistance to members experiencing access to care concerns

+ \#LI-Remote-this is a remote position

Use your skills to make an impact

Required Qualifications

+ RN with Compact State and have a Nursing Compact Multi State License to include FL, LA and NJ

+ RN licensure, active and unrestricted

+ Required hours are Monday - Friday, [10 am - 6:30 pm EST]

+ At least 3 + years of clinical experience; preferably in an acute care, skilled or rehabilitation setting, home health, DME, triage, utilization, and case management

+ Previous experience in a call center or comfortable working in a call center environment

+ Ability to work independently, and within a team virtually

+ Ability to multi-task via multiple computer systems, and talk and type at the same time

+ Proficient using MS Office Word, Teams, OneNote and SharePoint

+ Comfortable with navigating through multiple screens at the same time

+ Professional verbal and written communication skills

Remote-Work-At-Home Requirements

+ WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

+ Must have a private office with a locked door

+ A minimum standard speed for optimal performance of 2510 (25mpbs download x 10mpbs upload) is required.

+ Satellite and Wireless Internet service is NOT allowed for this role.

+ A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Preferred Qualifications

+ Bachelor's degree in Nursing (BSN), or related healthcare field experience

+ Previous case management, utilization review, or triage experience

+ Previous Medicare experience and familiarity with CMS guidelines

+ Previous experience working from home

+ Health plan operations experience

+ Knowledge of Humana systems and clinical programs

+ Bilingual - ability to speak fluently in both English and Spanish

Additional Information

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$69,800 - $96,200 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of ?Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of ?Humana?to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employ