Bilingual Care Manager, Telephonic Nurse
About the role
The Bilingual 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 facilitating interaction with resources appropriate for the care and wellbeing of members.
Responsibilities
- Perform health assessments, care planning, and education on chronic conditions and any gaps in their health care plans.
- Employ a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.
- Identify and resolve barriers that hinder effective care.
- Ensure patients are progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning.
- Navigate multiple systems.
Requirements
- Bilingual in English/Spanish
- Bachelor's degree in nursing or health-related field
- Licensed Registered Nurse (RN) in the appropriate state with no disciplinary action
- Minimum of 3 years of clinical acute care experience as a licensed RN
Preferred Qualifications
- Experience with case management, discharge planning, and patient education for adult acute care
- Managed care experience
- Certified Case Manager (CCM)
- Prior experience with Medicare & Medicaid recipients
- Experience with health promotion, coaching, and wellness
- Knowledge of community health and social service agencies and additional community resources
Additional Information
Workstyle: Remote, work from home.
Work Location: Illinois preferred.
Typical workdays/hours: Monday – Friday, 8:00am – 5:00pm CST, occasional flexibility in scheduling may be required to accommodate member needs.
Scheduled Weekly Hours: 40
Pay Range: $71,100 - $97,800 per year
This job is eligible for a bonus incentive plan.
Description Of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) 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 outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all 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 all levels of employment.