Job Details

Nurse Advice Line Telephonic Nurse - Remote- RN Compact License States Only

Aberdeen, SD, United States

Posted on
Jun 22, 2022

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Job Information
Nurse Advice Line Telephonic Nurse - Remote- RN Compact License States Only
South Dakota
The Care Manager, Telephonic Nurse 2 , 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 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
WAH, 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 2 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 2 role is work at home, with oversight from the NAL Manager; and they are expected to work independently with minimal supervision. The NAL Telephonic Nurse 2 performs other duties as assigned.
Provide accurate and appropriate medical advice utilizing approved medical resources
Utilizing available resources and benefits ensure member is aware of and participating in all programs and services offered
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 and or disease management or interventions
Provide assistance to members experiencing access to care issues
Required hours are [10 am - 6:30 pm EST]
Potential minimal travel in the future
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 [10 am - 6:30 pm EST]
At least 3 -5 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
Professional verbal and written communication skills
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 25x10 (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
Required hours are [10 am - 6:30 pm EST]
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 **** with instructions to add the information into the application at Humana's secure website.
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