Care Manager, Telephonic Nurse

Humana • Nashville, TN • 5h ago

Become a part of our caring community

As a remote Telephonic Care Manager, you will report to a Manager of Care Management. You will be providing a comprehensive, whole person care approach for Disease Management (DM) programs throughout the continuum of care. They will have personal interaction with beneficiaries to address clinical conditions identified through Predictive Analytics helping them develop healthy behaviors, understand their condition/disease, coping skills and treatment plan adherence, leading to decreased symptoms and complications of the condition/disease.

You will serve as the point of contact for the beneficiary for all activities within the clinical spectrum. This will include coordination and collaboration within the Care Management programs, Military Treatment Facility (MTF) Utilization Management/Case Management/DM staff, physicians or providers to ensure there is a fully integrated care plan addressing all beneficiary needs and conditions.

Use your skills to make an impact

Additional Job Description

Required Qualifications

Our Department of Defense contract requires U.S. Citizenship

Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)

HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico.

Active RN license in state of employment

3 years of clinical or managed care RN experience

Current CCM certification

Preferred Qualifications

Bachelor's degree in nursing

Experience with Case/Disease management programs

Certified Diabetes or Asthma Educator

TRICARE experience

Work-At-Home Requirements

To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

Satellite, cellular and microwave connection can be used only if approved by leadership

Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

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 will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$71,100 - $97,800 per year

This 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.

Application Deadline: 06-05-2026

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at?Humana.com?and at?CenterWell.com.

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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Humana

Go to Apply

Share this job

Similar Jobs

Manufacturing & Supply Chain Tech Lead, Manufacturing & Supply Chain Center of Excellence, AWSI - Automotive & Manufacturing

Amazon • Nashville, TN • 2h ago

Hospital & Medical

Description AWS is the world's leading cloud platform, serving hundreds of thousands of companies across 190+ countries. Automotive & Manufacturing is one of our highest-priority industry verticals - and, through the...

2h ago

Go to Apply

Machinery Diagnostics Field Engineer

Baker Hughes • Nashville, TN • 8h ago

Hospital & Medical

Machinery Diagnostics Field Engineer / Rotating Equipment Field Engineer Are you a Field Engineer looking for a new opportunity? Do you want to join the Cordant team? Cordant from Baker Hughes, offers a plant-wide, holis...

8h ago

Go to Apply

Machinery Diagnostics Field Engineer

Baker Hughes • Nashville, TN • 8h ago

Hospital & Medical

8h ago

Go to Apply

Senior Technical Infrastructure Program Manager, Manufacturing Operations

Amazon • Nashville, TN • 11h ago

Hospital & Medical

Description AWS Infrastructure Services owns the design, planning, delivery, and operation of all AWS global infrastructure. In other words, we're the people who keep the cloud running. We support all AWS data centers an...

11h ago

Go to Apply

Physician (Anesthesiologist-Cardiac)

Veterans Affairs, Veterans Health Administration • Nashville, TN • 1d ago

Hospital & Medical

Summary The Tennessee Valley Healthcare System (TVHS) is looking for an Anesthesiologist that will function as an attending Anesthesiologist for Cardiac General Anesthesia. TVHS is a large, vibrant, academic VA practice...

1d ago

Go to Apply

Nurse Navigator

HCA Healthcare • Nashville, TN • 1d ago

Hospital & Medical

Do you have the career opportunities as a(an) Nurse Navigator you want with your current employer? We have an exciting opportunity for you to join Centennial Heart which is part of the nation's leading provider of health...

1d ago

Go to Apply

NURSE PRACTITIONER

Kroger Family of Companies • White House, TN • 1d ago

Hospital & Medical

Responsible for delivering the highest quality health care within The Little Clinic's scope of services while achieving optimum patient satisfaction. These responsibilities include but are not limited to: building relati...

1d ago

Go to Apply

Registered Nurse (RN)

Green Hills Center for Rehabilitation and Healing • Nashville, TN • 1d ago

Hospital & Medical

Registered Nurse (RN) - Up To $41.75/Hour Registered Nurse (RN) Tired of the same old nursing home routine? We are taking a very fresh approach to skilled nursing. We have 12 hour shifts available days or nights. We offe...

1d ago

Go to Apply

Registered Nurse ICU

Ascension Health • Nashville, TN • 1d ago

Hospital & Medical

Your future role at a glance Location: Nashville, TN Facility: Saint Thomas West Department: Medical ICU Schedule: Full-time | Night Shift Life at Ascension: Where purpose meets opportunity Ascension is a leading nonprof...

1d ago

Go to Apply

Medical Assistant WFH

HCA Healthcare • Nashville, TN • 1d ago

Hospital & Medical

Do you have the career opportunities as a(an) Medical Assistant WFH you want with your current employer? We have an exciting opportunity for you to join Centennial Heart which is part of the nation's leading provider of...

1d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)