Bilingual RN Care Manager

🔥 1 hour ago

🇺🇸 United States – Remote

💵 $71.1k - $97.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💬 Bilingual

🦅 H1B Visa Sponsor

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

⚕️ 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

• Telephonically assess Medicare, Medicaid, and/or and Group Account members and create actionable and measurable care plans to help guide and track the members' progress toward goals • Use nursing judgment to assess and coordinate care for acute situations (APS, EMS) • Discuss transitions of care to assist with safe discharge to the home and coordinate care for DME, home health, provider appointments, etc. • Guide members and their families toward and facilitate interaction with resources appropriate for the care and wellbeing of members • Assess member’s physical, environmental and psycho-social health issues and work in collaboration with a multi-disciplinary team, such as social workers, dietitians, pharmacists, etc., employing a variety of strategies/techniques to manage appropriately and provide timely intervention

🎯 Requirements

• Active Registered Nurse (R.N.) license with no disciplinary action • Hold an active Compact nursing license and reside in the state that holds your compact license • Must be bilingual in Spanish and English - resume must be submitted in English • Oral and written fluency in Spanish and English - ability to pass a language test will be required • Minimum education of an Associates degree in Nursing • Minimum of 3 years of clinical RN experience • Experience using clinical knowledge to manage various adult chronic conditions, including development and implementation of individualized care planning • Proficient computer skills with ability to quickly learn and navigate multiple systems, utilizing dual computer monitors • Experience with Microsoft and Excel • Provide autonomous decision-making, troubleshooting and problem solving related to periodic system issues • Capacity to manage multiple or competing priorities including use of multiple computer applications simultaneously • Effective telephonic and virtual communication skills • Must have a separate room with a locked door that can be used as a home-office to ensure you and your members have absolute and continuous privacy while you work.

🏖️ Benefits

• 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