Job added in hotlist
Applied job
Contract job
90-day-old-job
part-time-job
Recruiter job
Employer job
Expanded search
Apply online not available
View more jobs in San Juan, PR
View more jobs in Puerto Rico

Job Details

RN Manager Care Management-SNP-Puerto Rico

Company name
Humana Inc.

Location
San Juan, PR, United States

Employment Type
Full-Time

Industry
Healthcare, Nursing, Manager, Bilingual

Posted on
Apr 20, 2021

Apply for this job






Profile

Description

The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals.

Responsibilities

Job Description

The Manager, Care Management oversees the assessment and evaluation of 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. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department.

Required Qualifications

BSN

5 years of professional experience as an RN

2 years of management experience

Active Registered Nurse (RN) license in Puerto Rico with ability to obtain FL nursing license by endorsement

Proficiency in analyzing and interpreting data trends.

Progressive business consulting and/or operational leadership experience

Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint

Must have a separate room with a locked door that can be used as a home office to ensure you have absolute and continuous privacy while you work

Must provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required

Bilingual English/Spanish

Preferred Qualifications

Previous experience working in a managed care field

Additional Information

Must reside in Puerto Rico

Monday-Friday 8AM-5PM local time

Temporary work at home until Humana transitions back into the office

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com

Similar Jobs:
Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management...
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursem...
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in San Juan Puerto Rico Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, doc...
The number of jobs listed on EmploymentCrossing is great. I appreciate the efforts that are taken to ensure the accuracy and validity of all jobs.
Richard S - Baltimore, MD
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
HealthcareCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
HealthcareCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2024 HealthcareCrossing - All rights reserved. 21 192