Bilingual Care Manager, Telephonic Nurse

HumanaWork at Home - Illinois, IL
$71,100 - $97,800Remote

About The Position

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 facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. As a Bilingual Telephonic Nurse Care Manager with FIDE in Illinois, you will play a pivotal role in truly transforming the lives of our members. By providing personalized assessments, ongoing care planning, and expert guidance over the phone, you will help members overcome barriers to care, manage chronic conditions, and connect with vital resources—empowering them to achieve and maintain their best possible health. Your clinical expertise and compassionate support will have a lasting impact, helping individuals and families navigate complex health challenges and improving their overall well-being. Join our team to make a difference, one member at a time. You will work as an assigned member population in Illinois over the phone performing health assessments, care planning, and education on chronic conditions and any gaps in their health care plans. You will employ a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. You will identify and resolves barriers that hinder effective care. You will ensure patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning. You will navigates multiple systems. Use your skills to make an impact.

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

Nice To Haves

  • 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

Responsibilities

  • Assess and evaluate members' needs and requirements to achieve and/or maintain optimal wellness state.
  • Guide members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.
  • 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 patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning.
  • Navigate multiple systems.

Benefits

  • medical
  • dental
  • 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
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