Bilingual Care Manager, Telephonic Nurse 2

Humana; Illinois; Teletrabalho; USD 71 000 - 98 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off and holidays

Resumo da oferta

Humana is seeking a Telephonic Nurse 2 Care Manager to assess and guide members toward optimal wellness by coordinating care over the phone. Responsibilities include creating and monitoring care plans, education on chronic conditions, and removing barriers to care.

Ideal candidates are bilingual (English/Spanish), hold an RN license, have 3–5 years of acute care experience, and are proficient with Microsoft Office. This is a remote role with potential travel to Humana offices.

Qualificações

• Bi-Lingual English/Spanish required.
• Bachelor's degree required.
• 3–5 years clinical acute care experience required.
• Licensed Registered Nurse (RN) with no disciplinary action.
• Proficiency with Word, Excel, Outlook.

Responsabilidades

• Assess and evaluate members' needs to guide care in telephonic environment.
• Develop and monitor care plans and educate on chronic conditions.
• Identify barriers to care and coordinate resources to improve outcomes.

Conhecimentos

Bi-Lingual English/Spanish

Bachelor's degree

RN licensure

MS Office proficiency

Patient-focused care

Formação académica

Bachelor's degree

Ferramentas

Microsoft Office

Descrição da oferta de emprego

Become a part of our caring community

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.

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.

Working hours: between 8:00am-7:00pm CST; core hours primarily 8:00am-5:00pm CST.

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.

Required Qualifications

• Bi-Lingual (English/Spanish)
• Bachelor's degree
• 3 - 5 years of clinical acute care experience
• Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action
• Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Experience with case management, discharge planning and patient education for adult acute care
• Knowledge of Milliman or Interqual
• Managed care experience
• Certified Case Manager (CCM)

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$71,100 - $97,800 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description Of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and 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 and many other opportunities.

About Us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.