Bilingual (English, Spanish) – Telephonic RN Care Manager - Remote

Humana - Work at Home3.7

9 days agoFull-timeEstimated: $58,000 - $82,000 a year

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. 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. All of our RN Care Managers telecommute, working from a dedicated home office space.

Click here for a “day in the life” preview of the Care Manager position

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
Required Qualifications

Active Registered Nurse (R.N.) license and possess the ability to be licensed as a registered nurse in multiple states without restrictions
Seasoned professional nurse with a minimum of three years of clinical nursing experience
Demonstrated clinical knowledge and experience with an adult chronic conditions
Bilingual English/Spanish. Must be able to speak, read and write in both languages without limitations or assistance. See Additional Information on testing
Intermediate to advanced 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
Must have a separate room with a locked door that can be used as a home office to ensure you and your patients have absolute and continuous privacy while you work
Must have accessibility to high speed DSL or cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems is 10M x 1M
Able to work 40 hours per week between the hours of 8am- 8pm with occasional Saturdays
Able to accommodate Eastern Time Zone work hours for two weeks of virtual training
Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10-panel drug test
Preferred Qualifications

Bachelor’s (BSN) or Master’s (MSN) degree in nursing
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
Compact and multi-state nursing licensure preferred; state license priorities based on business needs
Additional Information

Our Hiring Process

After submitting your application, if you are selected to move forward you will receive an email to complete the Virtual Job Experience (VJE). This is an online activity where you will learn more about RN Telephonic Care Manager jobs at Humana, try out some of the most common job tasks, and tell us more about yourself. Most people complete the VJE in 45 to 60 minutes. To complete it, you will need a computer or tablet with internet access, speakers/headphones, and an external keyboard (use of an on-screen keyboard is not recommended). We do not make job offers to candidates that do not complete the VJE. The VJE email will come from , please add to your contacts or safe senders list to avoid this going to your spam folder.

We may also contact you via text message and email to gather more information once the VJE is complete. 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.

Please note that is requisition is a pipeline for our Care Management Nurse job. We appreciate your application and will review your information as openings become available in this space.

Scheduled Weekly Hours