[Hiring] Bilingual Care Manager, Telephonic Nurse @Humana

Role Description

Become a part of our caring community. The Bilingual 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 facilitating 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.

As a Bilingual Telephonic Nurse Care Manager with FIDE in Illinois, you will play a pivotal role in truly transforming the lives of our members. By providing personalized assessments, ongoing care planning, and expert guidance over the phone, you will help members:

• Overcome barriers to care
• Manage chronic conditions
• Connect with vital resources

Your clinical expertise and compassionate support will have a lasting impact, helping individuals and families navigate complex health challenges and improving their overall well-being. Join our team to make a difference, one member at a time.

You will work as an assigned member population in Illinois over the phone performing:

• Health assessments
• Care planning
• Education on chronic conditions and any gaps in their health care plans

You will 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 patient is progressing towards desired outcomes by continuously monitoring patient care through assessment, data, conversations with members, and active care planning
• Navigate multiple systems

Qualifications

• Bilingual in English/Spanish
• Bachelor's degree in nursing or health-related field
• Licensed Registered Nurse (RN) in the appropriate state with no disciplinary action
• Minimum of 3 years of clinical acute care experience as a licensed RN

Requirements

• Experience with case management, discharge planning, and patient education for adult acute care (preferred)
• Managed care experience (preferred)
• Certified Case Manager (CCM) (preferred)
• Prior experience with Medicare & Medicaid recipients (preferred)
• Experience with health promotion, coaching, and wellness (preferred)
• Knowledge of community health and social service agencies and additional community resources (preferred)

Benefits

• 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
• Many other opportunities

Company Description

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.