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Remote Humana Rn Jobs in Pennsylvania (NOW HIRING)

Sedgwick

RN Field Case Manager

Philadelphia, PA · On-site +1

$78K - $99K/yr

... RN Field Case Manager This Field Case Manager will cover Philadelphia, Pennsylvania, and ... remote work environment that allows face to face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Philadelphia, PA · On-site +1

$78K - $99K/yr

... RN Field Case Manager This Field Case Manager will cover Philadelphia, Pennsylvania, and ... remote work environment that allows face to face interaction with injured workers and medical ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

Novacore

Medical Review Nurse

Conshohocken, PA · Remote

The Medical Review Nurse is a registered nurse who can assist Novacore's Claim and Underwriting ... Ability to work independently in a remote setting. * Ability to work with multiple offices and ...

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Remote Humana Rn information

What is the difference between Remote Humana Rn vs Remote UnitedHealthcare Rn?

AspectRemote Humana RnRemote UnitedHealthcare Rn
CredentialsRN license, applicable certificationsRN license, applicable certifications
Work EnvironmentRemote, telehealth settingsRemote, telehealth settings
Employer & IndustryHumana, health insurance industryUnitedHealthcare, health insurance industry
Common Search IntentComparison of remote nursing roles in Humana and similar companiesComparison of remote nursing roles in UnitedHealthcare and similar companies

Both Remote Humana Rn and Remote UnitedHealthcare Rn roles involve providing patient care remotely within the health insurance industry. They require similar credentials, such as an active RN license and relevant certifications. The primary difference lies in the employer and specific company policies, but the work environment and job responsibilities are largely comparable, focusing on telehealth services for members of their respective health plans.

What are the most commonly searched types of Humana Rn jobs in Pennsylvania? The most popular types of Humana Rn jobs in Pennsylvania are:
What are popular job titles related to Remote Humana Rn jobs in Pennsylvania? For Remote Humana Rn jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Remote Humana Rn jobs in Pennsylvania look for? The top searched job categories for Remote Humana Rn jobs in Pennsylvania are:
What cities in Pennsylvania are hiring for Remote Humana Rn jobs? Cities in Pennsylvania with the most Remote Humana Rn job openings:
Remote Humana Rn jobs near you

Temporary Contact Center Navigator (RN) - Remote

WorkPartners HCMS Group

Pittsburgh, PA • Remote

$27.89 - $35/hr

Other

Posted 23 days ago

Job description

UPMC Health Plan and Workpartners is hiring a temporary Contact Center Navigator. This role will work Monday - Friday (Mondays and Friday standard daylight hours EST, Tuesday - Thursday 12 pm - 9 pm EST) and may work remotely. This role will not be eligible to work overtime.

The budgeted hourly range for this position is $27.89-$35.00.

The ideal candidate will possess the following:
BSN
Active RN
ER, Psych, and/or School nursing experience is a bonus.
Bilingual in Spanish is a bonus.
Prior experience working remotely.

The KnovaSolutions Contact Center Navigator is responsible for care coordination, health education and assessment for identified KnovaSolutions members through telephonic and other electronic collaboration with members. Collaborates with and facilitates coordination with KnovaSolutions nursing and pharmacy staff, other departments, providers, community resources and caregivers to provide additional support. Members will be followed by telephone or other electronic communication methods. The Contact Center Navigator is the first clinical contact for members identified as KnovaSolutions referrals.
Responsibilities:

  • Completes Annual Competencies including Ethics and Compliance, HIPAA, Safety, Fraud and Abuse and Confidentiality/Privacy and Security Awareness. Preserves confidentiality of the member.
  • Utilizes independent problem solving and demonstrates ability to propose and implement creative solutions to member problems in order to achieve a high level of member satisfaction with KnovaSolutions.
  • Completes timely and accurate documentation of member contacts in the SMA health record.
  • Identifies health behaviors, risk factors or other concerns that would potentially improve members health if enrolled in the service.
  • Initiates outbound contact and responds to inbound contact with identified members to facilitate enrollment in KnovaSolutions.
  • Refers members to Company Benefits.
  • The Contact Center Navigator provides clinical triage of members to KnovaSolutions Clinical Prevention Specialists. Conducts initial health assessments using motivational interviewing techniques or other behavioral change skills.
  • Bachelor's degree in behavioral, social work, nursing, public health or a related field strongly preferred
  • 2 years of experience in counseling, clinical assessment, care coordination, coaching, and/or care management strongly preferred
  • Active RN licensure strongly preferred.
  • Bilingual in Spanish is a bonus.
  • Knowledge of or ability to learn a family-centered counseling approach that emphasizes nonjudgmental empathic interaction and collaborative development and implementation of behavior change plans.
  • Basic knowledge of workplace benefits, insurance reimbursement and EOBs.
  • Detail-oriented individual with excellent organizational skills. High level of oral communication skills.
  • Competently employ motivational strategies for encouraging individuals to explore motivation for change and enhance readiness.
  • Intermediate proficiency with MS Word and Outlook.
  • Ability to learn new computer-based documentation skills.
  • Excellent verbal and written communication and interpersonal skills required.
    Licensure, Certifications, and Clearances:
  • Act 34


UPMC is an Equal Opportunity Employer/Disability/Veteran

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