Bilingual Care Manager, Telephonic Nurse

This is a fully remote position, open to applicants in Alabama, +42 more states.

📋 Description

• Evaluate and assess the needs and requirements of members in a telephonic setting.

• Direct members and their families toward suitable care and wellness resources.

• Facilitate connections with resources that support the care and well-being of members.

• Utilize strategies, methods, and techniques to address members' physical, environmental, and psychosocial health challenges.

• Identify and resolve obstacles that impede effective care.

• Continuously assess patient care through evaluations, data analysis, discussions with members, and proactive care planning.

• Ensure patients make progress toward their desired health outcomes.

• Navigate various systems and apply critical thinking to establish appropriate actions.

• Work Monday to Friday, from 8:00 AM to 5:00 PM CST, with occasional scheduling flexibility to meet member needs.

• Occasionally travel to Humana offices for training or meetings.

⛳️ Requirements

• Must be a Licensed Registered Nurse (RN) in the state of Illinois with no disciplinary actions or the ability to obtain IL RN licensure.

• A minimum of 3 years of clinical acute care experience as a licensed RN is required.

• Bachelor's degree in a health-related discipline is necessary.

• Bilingual in English and Spanish; must be proficient in speaking, reading, and writing in both languages without limitations or assistance.

• Ability to navigate various systems effectively.

• Strong critical thinking abilities.

• Must meet work-from-home requirements, including a minimum of 25 Mbps download speed and 10 Mbps upload speed.

• Capability to work from a designated space without continuous interruptions to protect member PHI/HIPAA information.

• Preferred: Bachelor's degree in Nursing (BSN).

• Preferred: Experience in case management, discharge planning, and patient education for adult acute care.

• Preferred: Experience in managed care.

• Preferred: Certification as a Certified Case Manager (CCM).

• Preferred: Previous experience with Medicare & Medicaid recipients.

• Preferred: Experience in health promotion, coaching, and wellness.

• Preferred: Knowledge of community health and social service agencies as well as additional community resources.

• Applicants must complete the Interagency Language Rating (ILR) test.

🏝️ Benefits

• Bonus incentive plan based on 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.