1+ months

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

Humana
Blanding, UT 84511
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. 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 members 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 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 + Bachelors (BSN) or Masters (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 About Us Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms when and where they need it. Our employees are at the heart of making this happen and thats why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first. Equal Opportunity Employer It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailbox_tas_recruit@humana.com for assistance. Humana Safety and Security Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailbox_tas_recruit@humana.com to validate the request. <>

Categories

Posted: 2019-05-20 Expires: 2020-01-24

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

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

Humana
Blanding, UT 84511

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast