[Hiring] Bilingual Care Manager, Telephonic Nurse @Humana

Role Description Become a part of our caring community. 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 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. • 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 patients are progressing towards desired outcomes by monitoring patient care through assessment, data, conversations with members, and active care planning. • Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. • Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. • Working hours are between 8:00am-7:00pm central standard time; core hours are primarily 8:00am-5:00pm central standard time. • 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. Qualifications • Bachelor's degree • 3+ years of clinical acute care experience as a Licensed Registered Nurse • Licensed Registered Nurse (RN) in the appropriate state with no disciplinary action with the ability to obtain Licensure in Illinois • Must be bilingual in Spanish and English; resume must be submitted in English • Oral and written fluency in Spanish and English – ability to pass a language test will be required • Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook • Must be passionate about contributing to an organization focused on continuously improving consumer experience Requirements • Experience with case management, discharge planning, and patient education for adult acute care • Prior experience with Medicare & Medicaid recipients • Managed care experience • Certified Case Manager (CCM) • Previous experience with electronic case notes documentation and experienced with documenting in multiple computer applications/systems • Experience with health promotion, coaching, and wellness • Knowledge of community health and social service agencies and additional community resources • Master's Degree Benefits • Competitive benefits that support whole-person well-being • Medical, dental, and vision benefits • 401(k) retirement savings plan • Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave) • Short-term and long-term disability • Life insurance • Many other opportunities Additional Information • Workstyle: Remote, work from home. • Work Location: Illinois residency preferred. • Typical workdays/hours: Monday – Friday, 8:00am – 5:00pm CST, occasional flexibility in scheduling may be required to accommodate member needs. • Language Proficiency Testing: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment. • WAH Internet: Minimum download speed of 25 Mbps and upload speed of 10 Mbps required; wireless, wired cable or DSL connection suggested. • Employees who live and work from Home in specific states will be provided a bi-weekly payment for their internet expense. • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet business requirements. • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. • HireVue: We will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. • Travel: Occasional travel to Humana's offices for training or meetings may be required. • Scheduled Weekly Hours: 40 • Pay Range: $71,100 - $97,800 per year, eligible for a bonus incentive plan based on performance.