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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting telephonic assessments, developing individualized care plans, and coordinating care for chronic condition management. Proficient in maintaining compliance with documentation standards and managing caseloads effectively while ensuring member privacy.
Highest-signal resume keywords
Registered Nurse (RN) LicenseChronic Condition ManagementCommunity Resource CoordinationDocumentation SkillsMicrosoft Office Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Telephonic AssessmentIndividualized Care PlansChronic Condition ManagementDocumentation StandardsCaseload Management
Soft Skills
MultitaskingCollaborationCommunication
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft Outlook
Certifications & Qualifications
Active Registered Nurse (RN) License
Industry Keywords
Health ServicesPatient CareHIPAA ComplianceBehavioral HealthInterdisciplinary Teams
About the role
Key responsibilities & impact- Conduct telephonic assessments to identify members’ clinical, behavioral, social, and environmental needs
- Identify and resolve barriers to effective care or treatment adherence
- Develop, implement, and update individualized care plans
- Monitor member progress toward desired outcomes through ongoing assessment and evaluation
- Provide education and support for chronic condition management and self-care
- Coordinate care and facilitate access to providers, services, and community resources
- Collaborate with members, families, providers, and interdisciplinary teams
- Maintain timely and accurate documentation according to guidelines and quality and compliance requirements
- Apply department, segment, and organizational policies and procedures
- Manage assigned caseloads using independent judgment and available resources
- Report to the Associate Director, Health Services Nursing
- Travel up to 20% may be required for member outreach and meetings
- Primarily work standard business hours, with schedule flexibility based on business needs
Requirements
What you’ll need- Active, unrestricted Registered Nurse (RN) license in South Carolina with multistate compact privileges and no disciplinary action
- Must reside in South Carolina
- 3+ years of recent acute care clinical nursing experience
- Experience providing education and support for chronic condition management
- Experience with community resource coordination
- Proficiency with Microsoft Office applications, including Word, Excel, and Outlook
- Strong documentation, multitasking, and computer navigation skills with basic troubleshooting
- Minimum 25 Mbps download and 10 Mbps upload internet speed
- Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information
Benefits
Comp & perks- Bonus incentive plan based on company and/or individual performance
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Home-based work arrangement
- Dedicated workspace support for protecting member PHI/HIPAA information
- Occasional travel to Humana offices for training or meetings