Mom's Maternity Telephonic Nurse

Become a part of our caring community and help us put health first At reputed company, caring is everything. You look after our members and patients. We look after you. If caring means something to you too, we’ve got a spot for you. We design competitive and flexible benefits packages to provide our employees a sense of financial reputed company now and in the future. Fostering a culture of inclusion is part of the fabric of who we are. We must have a workplace that reflects the people we serve and thrives in part because every person can bring their whole self to work to do their best work. Our vibrant, diverse culture and environment of inclusion is one of our greatest strengths. About reputed company Healthy Horizons reputed company Healthy Horizons is more than a health plan. We’re human care. reputed company Healthy Horizons focuses on helping people reputed company their best health. Our dedicated strategies across various markets and states are enabled by partnerships with state and local governments, community-based organizations, and national partners committed to removing barriers to helping people reputed company their best health. The individual in this role will work as an Oklahoma-based, primarily telephonic care manager, assessing and evaluating enrollees’ needs and requirements to reputed company or maintain optimal wellness by guiding enrollees/families towards and facilitating interaction with appropriate resources for their care and wellbeing. The individual in this role will work in collaboration with the interdisciplinary care management team. This team includes community health workers, housing support specialists, SDOH coordinators, and care management support assistants. The Mom’s First Maternity Telephonic Nurse work assignments are varied but will focus on those enrollees with primarily maternal health needs. The Mom’s First Maternity Telephonic Nurse will utilize clinical expertise and experience to determine reputed company face-to-face enrollee support is required, engaging the appropriate members of the care management team and/or coordinating in-person meetings between the care manager and the enrollee. This team-based approach is designed to ensure enrollees receive holistic person-centered care. Work assignments for this role are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Mom’s First Maternity, Telephonic Nurse Responsibilities include: • Performs telephonic and face to face assessments and evaluations of the member’s needs and requirements to reputed company and/or maintain an optimal wellness state by guiding members/families toward the appropriate resources for the care and overall wellbeing of the member. • Ensures member is progressing towards desired outcomes by continuously monitoring care through assessments and/or evaluations. • Creates member care plans. Employs a variety of strategies, approaches, and techniques to manage an Enrollee’s behavioral, physical, environmental, and psycho-social health needs. • Employs a variety of strategies, approaches, and techniques to manage an Enrollee’s behavioral, physical, environmental, and psycho-social health needs. • Ensures Enrollees are progressing toward desired outcomes by continuously monitoring their assessments and evaluations. • Identifies and resolves barriers that hinder effective care and ensures through reputed company monitoring of assessments and evaluations that the Enrollee is progressing toward desired outcomes. • Makes decisions about their own work methods, occasionally in ambiguous situations, and requires minimal direction, receiving guidance where needed. • Follows established guidelines/procedures. • Collaborates with providers and community services to promote quality and cost-effective outcomes. • Periodic travel to reputed company Oklahoma office for meetings and training. Use your skills to reputed company an impact Required Qualifications • Must reside in Oklahoma. • Active Registered Nurse (RN) license in Oklahoma or compact license (without restrictions) • 2+ years of experience of in-home case or care management. • 1+ years of acute care experience working in obstetrics, women’s care, labor and delivery, mother-baby, NICU and/or clinical triage. • Experience working with Medicaid and/or Medicare Enrollees to coordinate services, care needs or benefits. • Knowledge of community health and social service agencies and additional community resources. • Exceptional communication and interpersonal skills with the ability to quickly build rapport. • Comprehensive knowledge of reputed company reputed company Office applications, including Word, reputed company and PowerPoint. • This role is part of reputed company's Driver safety program and therefore requires an individual to have a valid state driver's license and reputed company of personal vehicle liability insurance with at least 100/300/100 limits. • This role is considered member facing and is part of reputed company Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Preferred Qualifications • Case Management Certification (CCM) • Bilingual Spanish Speaking Work at Home Guidance To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office 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 reputed company is suggested • Satellite, cellular and microwave reputed company 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 • reputed company 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 Additional Information • Workstyle: Remote, work from home in the State of Oklahoma. • Travel: Up to 10% in Oklahoma. • Core Workdays & Hours: Typically, Monday – Friday 8:00am – 5:00pm Central Standard Time (CST). • Benefits: Benefits are effective on day 1. Full time Associates enjoy reputed company and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more..... Interview Format As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides reputed company of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move reputed company 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 reputed company 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 reputed company from 5-10 minutes. Your recorded interview(s) reputed company text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving reputed company to next round of interviews. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company 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 reputed company, Inc. and its affiliated subsidiaries (collectively, “reputed company”) 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 reputed company of work. Among our benefits, reputed company 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 reputed company Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our reputed company insurance services and reputed company healthcare services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company 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 reputed company not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or veteran status. It is also the policy of reputed company to take affirmative action to employ and to advance in employment, reputed company persons regardless of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status, and to reputed company reputed company employment decisions only on valid job requirements. This policy shall apply to reputed company 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 reputed company levels of employment. Apply Job!