Humana · 1 month ago
Care Manager, Telephonic RN
United States
Full-time
Remote
Mid Level
$71K/yr - $98K/yr
3+ years expHumana is dedicated to helping adults remain independent in their homes through their Care Support division. The Care Manager role involves telephonic interaction with Medicare members to assess their health needs and provide care coordination, ensuring optimal wellness and preventing avoidable hospitalizations.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Telephonically working with Medicare members with transitional needs and complex chronic conditions
Assessing members’ physical, environmental, and psychosocial health needs, collaborating with a multidisciplinary team, and implementing timely clinical interventions to manage risks, coordinate care, and help prevent avoidable hospitalizations
Collaboration with members who face multiple chronic conditions, along with financial and functional challenges, to support them in achieving and sustaining optimal health
May develop individualized member care plans
Qualification
Required
Active Registered Nurse (R.N.) license with no disciplinary action on any license
Must hold an active Compact nursing license and reside in the state that holds your compact license
3+ years of clinical acute care experience with case management, discharge planning, and patient education for adult acute care
Demonstrated clinical expertise in managing chronic conditions through individualized care planning, supported by strong assessment and critical thinking skills
Proficiency in Microsoft Office applications including Word, Excel, and Outlook
Demonstrated proficiency in navigating multiple systems using dual monitors, with strong computer skills and the ability to quickly learn new applications
Skilled in autonomous decision-making, troubleshooting, and problem-solving system-related issues
Preferred
BSN or MSN degree
Case Management experience
Managed care experience
Certified Case Manager (CCM)
Bilingual in English and Spanish
Benefits
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
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-16
2026-01-16
2026-01-14
Company data provided by crunchbase