RN Care Manager, Bilingual Telephonic Nurse - Humana
San Juan, PR
About the Job
Become a part of our caring community and help us put health first
This is a Work-At-Home position, but you MUST live in Puerto Rico.
You must be fully bilingual in English/Spanish and will be required to pass a test for both languages - Speaking/Reading/Writing included.
Please submit resume in English
The Care Manager, Telephonic Nurse works in a telephonic environment. They assess and evaluate members' needs and requirements to achieve and/or maintain an optimal wellness state, using clinical knowledge to manage chronic conditions in the adult population. The Care Manager advises and guides senior Medicare Advantage members and facilitates interaction with resources appropriate for their care and wellbeing.
The Care Manager, Telephonic Nurse employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Responsibilities include the following:
+ Identifies and resolves barriers that hinder effective care.
+ Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
+ May create member care plans.
+ Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
+ Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
This is a Work-At-Home opportunity, but you MUST live in Puerto Rico.
Use your skills to make an impact
Required Qualifications
+ Active RN license without restrictions in Puerto Rico.
+ Current affiliation with the CPEPR (Colegio de Profesionales de Enfermería de Puerto Rico).
+ Florida RN license or ability to obtain Florida license required.
+ _FL License requirements:_
+ _Minimum of 3 years RN experience: You need to have 2 consecutive years of experience as RN of the preceding 3 years with no gaps in employment and apply for FL RN license endorsement as soon as employment offer is accepted. OR,_
+ _If you have under 2 yrs. experience as RN and have attended one of the accredited schools in PR, must successfully complete and pass the NCLEX exam within 60 days of employment._
+ _Registered Nurse from an accredited institution, actively practicing nursing in a state, jurisdiction or territory of the US for 2 of the preceding 3 years without having license acted against by the licensing authority of any jurisdiction._
+ Prior clinical experience in adult acute care, skilled nursing, rehabilitation, OR a setting where knowledge of chronic conditions is used to manage care.
+ Must be fully bilingual in English/Spanish and will be required to pass a test for both languages - Speaking/Reading/Writing.
+ Ability to work independently under minimum supervision and with a team.
+ Able to work 8-hour shifts between 8:00 AM - 6:00 PM (Work schedule can be adjusted according to business hours, necessary overtime and/or weekends)
Preferred Qualifications
+ Active FL RN license
+ Health Plan experience
+ Previous Case Management Experience
+ Call center or triage experience
+ Previous experience managing Medicare members.
Additional Information
*Please submit resume in English
Language Proficiency Testing
Any Humana associate who speaks with a member in a language other than Spanish must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
HireVue Statement
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If selected to move forward, you will receive an email or text from HireVue.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$52,400 - $72,200 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
This is a Work-At-Home position, but you MUST live in Puerto Rico.
You must be fully bilingual in English/Spanish and will be required to pass a test for both languages - Speaking/Reading/Writing included.
Please submit resume in English
The Care Manager, Telephonic Nurse works in a telephonic environment. They assess and evaluate members' needs and requirements to achieve and/or maintain an optimal wellness state, using clinical knowledge to manage chronic conditions in the adult population. The Care Manager advises and guides senior Medicare Advantage members and facilitates interaction with resources appropriate for their care and wellbeing.
The Care Manager, Telephonic Nurse employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Responsibilities include the following:
+ Identifies and resolves barriers that hinder effective care.
+ Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
+ May create member care plans.
+ Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
+ Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
This is a Work-At-Home opportunity, but you MUST live in Puerto Rico.
Use your skills to make an impact
Required Qualifications
+ Active RN license without restrictions in Puerto Rico.
+ Current affiliation with the CPEPR (Colegio de Profesionales de Enfermería de Puerto Rico).
+ Florida RN license or ability to obtain Florida license required.
+ _FL License requirements:_
+ _Minimum of 3 years RN experience: You need to have 2 consecutive years of experience as RN of the preceding 3 years with no gaps in employment and apply for FL RN license endorsement as soon as employment offer is accepted. OR,_
+ _If you have under 2 yrs. experience as RN and have attended one of the accredited schools in PR, must successfully complete and pass the NCLEX exam within 60 days of employment._
+ _Registered Nurse from an accredited institution, actively practicing nursing in a state, jurisdiction or territory of the US for 2 of the preceding 3 years without having license acted against by the licensing authority of any jurisdiction._
+ Prior clinical experience in adult acute care, skilled nursing, rehabilitation, OR a setting where knowledge of chronic conditions is used to manage care.
+ Must be fully bilingual in English/Spanish and will be required to pass a test for both languages - Speaking/Reading/Writing.
+ Ability to work independently under minimum supervision and with a team.
+ Able to work 8-hour shifts between 8:00 AM - 6:00 PM (Work schedule can be adjusted according to business hours, necessary overtime and/or weekends)
Preferred Qualifications
+ Active FL RN license
+ Health Plan experience
+ Previous Case Management Experience
+ Call center or triage experience
+ Previous experience managing Medicare members.
Additional Information
*Please submit resume in English
Language Proficiency Testing
Any Humana associate who speaks with a member in a language other than Spanish must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
HireVue Statement
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If selected to move forward, you will receive an email or text from HireVue.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$52,400 - $72,200 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana