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The Manager, Care Management is responsible for directing care management operations and leading a team to deliver services that engage, motivate, · and educate family caregivers to support complex individuals, · keeping care at home.Lead and manage a team of clinical and non-cli ...
Boston $89,160 - $109,231 (USD)1 week ago
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Reporting to the Director, · Care Management,the Manager,Care Management is responsible for directing care management operations and leading a team to deliver services that engage,motivate,and educate family caregivers to support complex individuals keeping care at home. · ...
Boston $89,160 - $109,231 (USD)3 weeks ago
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Manager, Care Management directs care management operations and leads a team to deliver services that engage, motivate, and educate family caregivers to support complex individuals keeping care at home. · ...
Boston $89,160 - $115,000 (USD)2 weeks ago
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About Us · A pioneer in the caregiving space, · Careforth supports family caregivers across the United States to confidently care for their loved ones at home.Position Summary · The Manager, Care Management directs care management operations and leads a team to deliver services t ...
Boston, MA1 week ago
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This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. ...
Boston, MA1 month ago
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A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. · ...
Boston $89,160 - $115,000 (USD) Full time2 weeks ago
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Reporting to the Director, Care Management, the Manager, Care Management is responsible for directing care management operations and leading a team to deliver services that engage, motivate, and educate family caregivers to support complex individuals. · Lead and manage a team of ...
Boston, MA2 weeks ago
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As a Care Manager Nurse with eternalHealth you will be a core member at eternalHealth – whose responsibilities will include care management. · This position will work towards meeting clinical, financial and operational performance goals and standards. · We provide a unique oppor ...
Boston, MA2 weeks ago
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+Job Summary · The Clinical Care Manager (CCM) provides care coordination and clinical management for One Care enrollees with complex healthcare needs. · +Provides outreach to and engage clients enrolled in One Care. · Conducts comprehensive health assessment of enrolled clients ...
Boston1 month ago
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The Clinical Care Manager provides holistic medical care management services for members throughout the continuum of care by assessing the member clinically as well as member's readiness to make behavioral changes and actively participate in a care plan. · ...
Boston $74,000 - $107,000 (USD)1 week ago
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We are currently looking for an enthusiastic RN Care Manager to join our dynamic care management team. As an RN Care Manager you'll take on an exciting hybrid position balancing in-person home visits with the convenience of remote coaching. · Our goal is to support family caregiv ...
Boston2 weeks ago
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RN Care Manager is a vital role in the Project SHINE clinical care management team. The Registered Nurse (RN) Care Manager will have the opportunity to make a profound impact on the lives of people living with HIV/AIDS and those at risk for HIV transmission. · Cordinates treatmen ...
Boston $44 - $64 (USD)1 month ago
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We're proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities. · Coordinates treatment of all STI consults · ,Responsible for evaluation and follow-up of all patients receiving treatment for HIV · ,Provide speci ...
Boston, MA1 month ago
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The Bilingual Geriatric Support Services Coordinator (GSSC) is the care manager assigned to work with SCO enrollees and is a member of the Primary Care Team (PCT). · The position involves coordinating and providing community social services to SCO enrollees through the SCO's poli ...
Boston4 weeks ago
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· Company Description · Olesky Associates, Inc. has been in the placement / recruiting industry for three decades. · We offer an extensive array of services, ranging from physician placement to practice and hospital brokering. · Our Search Consultants located in our home office ...
Boston, MA5 days ago
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We are a premier pediatric specialty, research, and academic teaching hospital with a medical and research partnership with Massachusetts General Brigham. · ...
Boston $47.54 - $81.50 (USD) Part time1 month ago
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Eliot is seeking a Lead Care Manager to join our Behavioral Health Community Partner (BH CP) program. · ...
Boston, MA1 month ago
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We are seeking a Lead Care Manager to join our Behavioral Health Community Partner (BH CP) program in Boston. · Responsible for supervision of BH CP Care Manager staff focused on best practices and strategies to meet identified paperwork targets, quality metrics goals, and ACO/MC ...
Boston1 month ago
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The Bilingual Geriatric Support Services Coordinator (GSSC) coordinates and provides community social services to SCO enrollees through the SCO's policies, procedures, and practices. · Coordinate and provide community-based care plans for enrollees. · Arrange and authorize long-t ...
Greater Boston1 month ago
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+Job Summary · At Eliot, your work has purpose.You'll be part of a compassionate, mission-driven team committed toresilience, empowerment,and lasting change.+Paid Time Off – Vacation, · Comprehensive Benefits – Medical,dental,and vision plans. · +Responsibilities: ...
Boston Full time1 month ago
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+The Bilingual Geriatric Support Services Coordinator (GSSC) is the care manager assigned to work with SCO enrollees and is a member of the Primary Care Team (PCT).+ · ++As a member of the Primary Care team (PCT), participate in Initial and Ongoing Assessments of the health and f ...
Boston1 month ago
Bilingual RN Care Manager - Boston - Humana
Description
Become a part of our caring community and help us put health firstThis 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 yearThis 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 UsHumana 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.
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Manager, Care Management
Only for registered members Boston
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Manager, Care Management
Only for registered members Boston
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Manager, Care Management
Only for registered members Boston
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Manager, Care Management
Only for registered members Boston, MA
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Care Manager
Only for registered members Boston, MA
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Manager, Care Management
Full time Only for registered members Boston
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Manager, Care Management
Only for registered members Boston, MA
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Care Manager
Only for registered members Boston, MA
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Clinical Care Manager
Only for registered members Boston
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Clinical Care Manager
Only for registered members Boston
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RN Care Manager
Only for registered members Boston
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RN Care Manager, Complex Care
Only for registered members Boston
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RN Care Manager, Complex Care
Only for registered members Boston, MA
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Geriatric Care Manager
Only for registered members Boston
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Complex Care Manager
Only for registered members Boston, MA
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RN Care Manager
Part time Only for registered members Boston
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Lead Care Manager
Only for registered members Boston, MA
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Lead Care Manager
Only for registered members Boston
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Geriatric Care Manager
Only for registered members Greater Boston
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Lead Care Manager
Full time Only for registered members Boston
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Geriatric Care Manager
Only for registered members Boston