Care Manager Telephonic Nurse 2 Fully Bilingual Clinical Experience - San Juan PR

Profile

Description

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.

Responsibilities

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. 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.

Job Overview

Humana At Home is a division of Humana that is dedicated to helping adults remain independent in their homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. We contact members with chronic conditions by phone to assess and support their health, offering education, identifying resources, and helping remove barriers to achieving health and independence. Each RN Care Manager is assigned to one of several available clinical roles designed to support different populations of Humana members at their key moments of need.


Telephonically assess Medicare, Medicaid, Commercial, and/or and Group Account members in seven domains of functioning
Evaluate member needs and requirements to achieve and/or maintain optimal wellness state
Guide members and their families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
Assess member's physical, environmental and psycho-social health issues and work in collaboration with a multi-disciplinary team, employing a variety of strategies/techniques to manage appropriately and provide timely intervention


RESUME must be in English

Required Qualifications


Active Registered Nurse (R.N.) license from any state by examination
If you do not have an Active RN license from passing the NCLEX you must have an Active Register Nurse License from Puerto Rico and meet one of the following criteria:
2 consecutive years of experience as RN of the preceding 3 years (no gaps in employment) and apply for FL RN license endorsement as soon as employment offer is accepted. OR
Graduated from an Accreditation Commission for Education in Nursing (ACEN) or Commission on Collegiate Nursing Education (CCNE) accredited nursing program, must successfully complete and pass the NCLEX exam within 60 days of employment


Other Requirements:


Demonstrated clinical knowledge and experience with adult chronic conditions
Intermediate computer skills and experience with Microsoft Word and Excel
Proficient typing and computer navigation skills
Capacity to multi-task including use of multiple computer applications simultaneously
Effective communication and interpersonal skills
Effective problem solving and appropriate application of clinical knowledge
Able to work 40 hours and adjust work schedule according to business need including occasional weekends
Bilingual in Spanish and English. Must be able to speak, read, and write in both languages without limitation or assistance. See Additional Information about testing


Preferred Qualifications


Bachelor's (BSN) or Master's (MSN) degree in nursing
Successful completion of National Council Licensure Examination (NCLEX)
Previous managed care experience
Basic knowledge of complex care management and care management principles
Experience with motivational interviewing
Experience with behavior change, health promotion, coaching and wellness


Additional Information

Please submit resume in English

Our Hiring Process

After submitting your application, if you are selected to move forward you may be contacted via text message and email to gather more information. We use a software platform called Montage. Montage Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.

Language Proficiency Testing

Any Humana associate who speaks with a member in a language other than English 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.

Humana Perks:

Full time associates enjoy competitive pay and a comprehensive benefits package that includes:


Two types of Medical plans with pharmacy coverage
Dental, Vision & Life Insurance offered
401 k Retirement Savings Plan offered after 45 days of employment.
Spouse / partner coverage
Paid time off & Paid Holidays
Well-being programs where you can earn additional money, gift cards, or prizes for healthy behavior and wellness activities.
Volunteer Day Off
Education reimbursement and/or scholarships for qualifying dependent children
Parental leave include maternity, paternity and child adoption leave


Scheduled Weekly Hours

40

Company info

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