Bilingual RN Care Manager

Humana • Puerto Rico, TX

3d • $56,900 - $78,200 • Remote

About The Position

We are seeking compassionate and motivated Registered Nurses to join our team in Puerto Rico as a RN Care Manager. This is a remote, Work-At-Home position, but you must live in Puerto Rico to be considered. You will report directly to a Manager of Care Management and support our CarePlus and Humana members with chronic and complex health conditions through telephonic care management. You will build strong relationships with members through communication and engagement and use your clinical knowledge to assess and evaluate their needs to achieve or maintain an optimal wellness state. We are looking for bilingual RNs who are proficient in both Spanish and English. Succes in the role requires a strong knowledge of chronic condition management including treatment plans, pharmacological treatment, and signs and symptoms. Please be advised, our screening and interview process is conducted entirely in English, and if selected for this position, you will be required to pass language proficiency tests in both English and Spanish before we can extend an offer. The Care Manager, Telephonic Nurse employs a variety of strategies and techniques to manage a member's physical, environmental and psycho-social health issues.

Requirements

• Bachelor's Degree in Nursing (BSN)
• Bilingual in English and Spanish (with the ability to pass language proficiency tests in both languages)
• Active RN license without restrictions in Puerto Rico
• Active RN license without restrictions in Florida
• Affiliation with the CPEPR (Colegio de Profesionales de Enfermería de Puerto Rico).
• Prior clinical experience in adult acute care, skilled nursing, rehabilitation or discharge planning
• Knowledge in Chronic Condition management (treatment, pharmacological treatment, signs and symptoms) such as Diabetes, Hypertension, COPD, and chronic kidney disease
• Work an 8-hour shift between 8:30 AM - 5:30 PM EST and adjusted for Daylight Savings
• We can adjust the work schedule according to business needs or if overtime is needed (including weekends).

Nice To Haves

• Health Plan experience
• Previous Case Management Experience
• Call center or triage experience
• 1+ years of experience managing Medicare members

Responsibilities

• Identify and resolve barriers that hinder effective care.
• Ensure patient is progressing towards desired outcomes by managing patient care through assessments and evaluations.
• Monitor member progress and adjust care strategies to ensure optimal outcomes
• Assist in developing and implementing individualized care plans
• Collaborate with interdisciplinary teams to coordinate care and services
• Manage your daily tasks, maintain accurate documentation and follow established guidelines and procedures
• Use your skills to make an impact

Benefits

• medical
• dental
• 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