Humana RN Case Manager - Remote - RN Case Manager Humana Employee Review

3.0
Jul 31, 2024
Recommend
CEO approval
Business Outlook

Pros

Management seemed to care. Good teammates. Able to work remotely nationwide.

Cons

Felt like pressured sales at times. Many members upset with coverage from Humana and complained a great deal about this. Micromanagement - strict monitoring of phone calls with monthly audit reviews for meeting benchmarks. Very little teamwork, rarely talk to coworkers aside from weekly meeting so can be isolating to work remotely. They had large reduction in force Feb 2024 and many nurses lost their jobs and those nurses seemed stressed and worried about the upcoming lay offs for months while waiting to see if they would be affected.

Explore other reviews about Humana

5.0
May 7, 2026
Recommend
CEO approval
Business Outlook

Pros

Awesome company with best industry standards

Cons

Nothing I could notice , very good company

3.0
Jul 8, 2026
Recommend
CEO approval
Business Outlook

Pros

Flexible shift schedule if you can maintain changing standards that have to be met to qualify; work at home remote and no phone calls for the screening RPhs

Cons

This applies to all 4 pharmacy sites in Arizona, Texas, Ohio, and Florida: standards change constantly for what is accepted rate for production and missing errors (from MD office, tech entry, etc). Everything is about rate, rate, rate, yet you get majorly dinged for quality. Which of course we all want 100% perfect Rxs and no errors, but the rate continues to climb as RPhs practically just click the mouse to move an rx, taking safety shortcuts which are risky, and playing fast and loose with professional judgment allowances. These were not as allowed prior to Amazon, but once you have a company like that competing with you, patients expect everything in 24 hours and we're left to hang if we don't go faster and faster and stop worrying about what the MD actually wanted for example. You are penalized for questioning anything you think is wrong. Certain RPhs get picked to judge if your reasoning for clarifying is sound or not. Doctor leaves out directions frequency, just make it up, that's fine. No, that's prescribing and that's illegal. The Boards of Pharmacy and Medicine might want to look into this. I know one state did about 5 years ago due to an anonymous tip from a colleague.

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