Bilingual Care Manager, Telephonic Nurse

🔥 17 hours ago

🏈 Alabama, Arizona, +41 more states – Remote

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💵 $71.1k - $97.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💬 Bilingual

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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🗣️🇪🇸 Spanish Required

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Logo of Humana

Humana

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Assess and evaluate members' needs and requirements in a telephonic environment • Guide members and families toward appropriate care and wellbeing resources • Facilitate interaction with resources supporting members' care and wellbeing • Employ strategies, approaches, and techniques to manage members' physical, environmental, and psychosocial health issues • Identify and resolve barriers hindering effective care • Continuously monitor patient care using assessments, data, conversations with members, and active care planning • Ensure patients progress toward desired outcomes • Navigate multiple systems and apply critical thinking to determine appropriate courses of action • Work Monday–Friday, 8:00am–5:00pm CST, with occasional scheduling flexibility to accommodate member needs • Travel occasionally to Humana offices for training or meetings

🎯 Requirements

• Licensed Registered Nurse (RN) in the state of Illinois with no disciplinary action or ability to obtain IL RN licensure • Minimum of 3 years of clinical acute care experience as a licensed RN • Bachelor's degree in a health-related field • Bilingual in English/Spanish; must be able to speak, read, and write in both languages without limitations or assistance • Ability to navigate multiple systems • Critical thinking skills • Ability to meet work-at-home requirements, including a minimum 25 Mbps download speed and 10 Mbps upload speed • Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information • Preferred: Bachelor's degree in Nursing (BSN) • Preferred: Experience with case management, discharge planning, and patient education for adult acute care • Preferred: Managed care experience • Preferred: Certified Case Manager (CCM) • Preferred: Prior experience with Medicare & Medicaid recipients • Preferred: Experience with health promotion, coaching, and wellness • Preferred: Knowledge of community health and social service agencies and additional community resources • Applicants must complete the Interagency Language Rating (ILR) test

🏖️ Benefits

• Bonus incentive plan based upon 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 • Work-from-home arrangement

Apply Now

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