Bilingual Care Manager, Telephonic Nurse

Humana • Work at Home - Illinois, IL

5d • $71,100 - $97,800 • Remote

About The Position

The 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. The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. You will identify and resolve barriers that hinder effective care. You will ensure patients are progressing towards desired outcomes by monitoring patient care through use of assessment, data, conversations with member, and active care planning. You will need to understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Your work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. This position will work with an assigned member population over the phone performing health assessments, care planning, and education on chronic conditions and any gaps in their health care plans.

Requirements

• Bachelor's degree
• 3+ years of clinical acute care experience as a Licensed Registered Nurse
• Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action with the ability to obtain Licensure in Illinois
• 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
• Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
• Must be passionate about contributing to an organization focused on continuously improving consumer experience

Nice To Haves

• Experience with case management, discharge planning and patient education for adult acute care
• Prior Experience with Medicare & Medicaid Recipients
• Managed care experience
• Certified Case Manager (CCM)
• Previous experience with electronic case notes documentation and experienced with documenting in multiple computer applications/systems
• Experience with health promotion, coaching and wellness
• Knowledge of community health and social service agencies and additional community resources
• Master's Degree

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.
• 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 patients are progressing towards desired outcomes by monitoring patient care through use of assessment, data, conversations with member, and active care planning.
• Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
• Perform health assessments, care planning, and education on chronic conditions and any gaps in their health care plans for an assigned member population over the phone.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level