Bilingual RN Care Manager - Fresno - Humana

    Humana
    Humana Fresno

    19 hours ago

    $65,000 - $105,000 (USD) per year *
    Description
    Become a part of our caring community and help us put health first
    This is a remote, telephonic position, but you must live in Puerto Rico. The RN Care Manager uses clinical knowledge to assess and evaluate members' needs to achieve and maintain optimal wellness. They also guide members with chronic conditions toward and facilitate interaction with resources appropriate for their care and wellbeing.

    The Care Manager reports to a Manager of Care Management, and work assignments frequently require interpretation and independent determination of the appropriate courses of action.

    We require you to be bilingual in English/Spanish and will test you for both languages - Speaking/Reading/Writing included. Please submit your resume in English.

    The Care Manager, Telephonic Nurse employs a variety of strategies and techniques to manage a member's physical, environmental and psycho-social health issues


    Responsibilities include the following:
    Resolve barriers that hinder care.
    Assess members with chronic conditions to determine their state of wellness and determine next steps, if any.
    Ensure patient is progressing towards desired outcomes by managing patient care through assessments and evaluations.
    May create member care plans.
    Understand department, segment, and organizational strategy and operating goals, including their linkages to related areas.
    Require minimal direction and receive guidance where needed. Follow established guidelines/procedures.

    Use your skills to make an impact
    Required Qualifications
    Bachelor's Degree in Nursing (BSN)
    Bilingual in English and Spanish (and able to pass language proficiency tests in both languages)
    Active RN license without restrictions in Puerto Rico
    Active RN license without restrictions in Florida
    Affiliated with the CPEPR (Colegio de Profesionales de Enfermería de Puerto Rico).
    Prior clinical experience in adult acute care, skilled nursing, rehabilitation or discharge planning
    Knowledge in Chronic Condition management (treatment, pharmacological treatment, signs and symptoms), including Diabetes, Hypertension, COPD, and chronic kidney disease.

    Shift is 8-hours, plus 1 hour for lunch, from 8:30 AM to 5:30 PM EST and we adjust for Daylight Savings.

    We adjust the work schedule according to business needs including necessary overtime and weekends.

    Preferred Qualifications
    Health Plan experience
    Previous Case Management Experience
    Call center or triage experience
    Previous experience managing Medicare members

    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.

    Satellite, cellular and microwave connection can only be used if leadership approves it.
    Humana will provide Work-At-Home employees with telephone equipment appropriate to meet the requirements for their position.
    Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

    Language Proficiency Testing

    Any Humana associate who speaks with a member in a language other than Spanish must take a language proficiency assessment, provided by an outside vendor, to ensure competency.

    The Federal Government requires applicants to take the Interagency Language Rating (ILR) test.

    Additional Information

    As part of our hiring process for this opportunity, we will use an interviewing technology called HireVue to enhance our hiring process.

    HireVue allows us to quickly connect and gain valuable information from you about your relevant experience at a time that is best for your schedule.


    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.

    $56,900 - $78,200 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

    About Us
    Humana Inc

    (NYSE:

    HUM) is committed to putting health first – for our teammates, our customers and our company.

    Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

    ​
    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.

    * This salary range is an estimation made by beBee
  • Work in company

    Care Manager/ Care Navigator

    Only for registered members

    · Use your Experience to Truly Make a Difference Join the Master · •Care team as a Care Navigator · Master · •Care, Inc. is a Managed Services Organization (MSO) created exclusively to bridge medical and non-medical services under California's new CalAIM program. Enhanced Care M ...

    Fresno County, CA

    5 days ago

  • Work in company

    RN Care Manager

    BoldAge PACE

    Job Title: Registered Nurse Care Manager · The Registered Nurse Care Manager is responsible for assessing the care needs of participants in BoldAge PACE’s all-inclusive program. · ...

    Fresno $75,000 - $115,000 (USD) per year

    2 days ago

  • Work in company

    RN Care Manager

    BoldAge PACE

    The Registered Nurse Care Manager plays a vital role in assessing participants' care needs and providing high-quality clinical care as part of an interdisciplinary team. · Key Responsibilities · Provide comprehensive nursing assessments in accordance with policies and regulatory ...

    Fresno $12,345 - $123,456 (USD) per year

    1 day ago

  • Work in company

    Lead Care Manager

    Only for registered members

    The Lead Care Manager works in collaboration and continuous partnership with chronically ill or high-risk members and their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources to coordinate services ensure seamless experience for the member ...

    Fresno, CA

    1 week ago

  • Work in company

    Care Management Support

    Headway

    Licensed Clinical Psychologist · Licensed Clinical Psychologists — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It's all ...

    Fresno

    2 days ago

  • Work in company

    Lead Care Manager

    Only for registered members

    ++The Lead Care Manager works in collaboration and continuous partnership with chronically ill or high-risk members and their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources in a team approach to: · Coordinate with those individuals an ...

    Fresno $21 - $23 (USD)

    1 week ago

  • Work in company

    RN Care Manager

    Only for registered members

    The RN Care Manager is responsible for assessing the care needs of participants and providing nursing and healthcare interventions. · Provide high-quality clinical care as a member of the PACE interdisciplinary team (IDT). · Nursing care is provided in various settings including ...

    Fresno

    2 weeks ago

  • Work in company

    RN Care Manager

    Only for registered members

    +The RN Care Manager is responsible for assessing the care needs of participants and providing nursing interventions. · +Provide high quality clinical care as a member of the PACE interdisciplinary team (IDT). · ...

    Fresno

    4 weeks ago

  • Work in company

    RN Care Manager

    Only for registered members

    The RN Care Manager is responsible for assessing the care needs of participants, · provides nursing and healthcare interventions, · and evaluates outcomes of care of participants on an ongoing basis. · In collaboration with the interdisciplinary team (IDT), · develops plans of ca ...

    Fresno

    2 weeks ago

  • Work in company

    Lead Care Manager I

    Only for registered members

    We are recruiting for a Lead Care Manager (Medical Assistant) to join our team at our Corporate office in Fresno, Ca. · The Lead Care Manager is responsible for serving as the primary point of contact for the Member, Member's family, Authorized Representative (AR), caregiver, oth ...

    Fresno, CA

    1 month ago

  • Work in company

    Care Management Medical Doctor

    AMN Healthcare

    Physical Medicine and Rehabilitation Physician · StartDate: ASAP Available Shifts: Regular 24 Pay Rate: $ - $ · This facility is seeking a Physical Medicine and Rehabilitation Physician for locum tenens support as they look to fill a current need.Acute Rehabilitation unit located ...

    Fresno

    7 hours ago

  • Work in company

    Care Management Medical Doctor

    AMN Healthcare

    Physical Medicine and Rehabilitation Physician · StartDate: ASAP Available Shifts: Regular 24 Pay Rate: $ - $ · This facility is seeking a Physical Medicine and Rehabilitation Physician for locum tenens support as they look to fill a current need.Acute Rehabilitation unit located ...

    Fresno

    7 hours ago

  • Work in company

    Lead Care Manager I

    Only for registered members

    We are recruiting for a Lead Care Manager (Medical Assistant) to join our team at our Corporate office. · The Lead Care Manager is responsible for serving as the primary point of contact for the Member... · ...

    Fresno

    1 month ago

  • Work in company

    Care Manager

    Only for registered members

    Under the direction of the Community Connect Program Supervisor, the ECM Care Manager delivers direct services and care coordination as part of a multidisciplinary team. · ...

    Clovis, CA

    3 weeks ago

  • Work in company

    Lead Care Manager

    Only for registered members

    The Lead Care Manager works in collaboration and continuous partnership with chronically ill or high-risk members and their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources in a team approach to ensure a seamless experience for the membe ...

    Fresno, CA

    1 week ago

  • Work in company

    Nurse Case Manager II – Community Care Program

    Only for registered members

    Provides case management services to a caseload of low- and medium-risk patients. · ...

    Fresno, CA

    1 month ago

  • Work in company

    Senior Manager, Pharmacy Care Delivery, Outpatient Pharmacy

    Only for registered members

    In addition to the responsibilities listed below, this position is responsible for modeling usage of complex strategies to provide pharmaceutical care using evidence based literature, drug initiative information. · Partners with other senior leaders. · ...

    Fresno, CA

    2 weeks ago

  • Work in company

    Lead Care Manager

    Only for registered members

    The Lead Care Manager provides direct service, coordinates care management, and functions as a part of a ...

    Fresno, CA

    1 week ago

  • Work in company

    Senior Manager, Pharmacy Care Delivery, Outpatient Pharmacy

    Only for registered members

    In addition to the responsibilities listed below, this position is responsible for modeling usage of complex strategies to provide pharmaceutical care using evidence based literature, drug initiative information, using standard protocols, policies and procedures; partnering with ...

    Fresno

    2 weeks ago

  • Work in company

    Customer Care Manager

    Only for registered members

    The Customer Care Manager plays a key role in ensuring our homeowners have an exceptional experience from move-in readiness to warranty support and beyond. This position oversees all aspects of the Customer Care Department leading a team that delivers quality assurance clear comm ...

    Clovis

    1 month ago

Jobs
>
Bilingual rn care manager
>
Jobs for Bilingual rn care manager in Fresno