Care Manager Telephonic Nurse 2/RN - San Juan Puerto Rico

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Job Information

Humana

Care Manager, Telephonic Nurse 2/RN - San Juan, Puerto Rico

in

San Juan

Puerto Rico

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.

Required Qualifications

Registered Nurse from an accredited institution in Puerto Rico

Active RN license without restrictions in Puerto Rico

Affiliated with the CPEPR (Colegio de Profesionales de Enfermería de Puerto Rico)

Ability to work independently under minimum supervision and with a team

Work At Home (WAH) - Temporary Due to COVID-19 emergency. Please note this permanent position allows you to work at home indefinitely until further notice. See additional information in section below.

WAH requirements: Must have the ability to 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. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Preferred Qualifications

Health Plan experience

Previous Case Management Experience

Call center or triage experience

Previous experience managing Medicare members

Bilingual English/Spanish. Candidate selected will not be communicating in English with members.

Additional information

Schedule:

Monday to Friday from 8 am to 5 pm, Overtime, needed to work some weekends.

Training:

1 month approximately- Virtually

Work Location (Address): This permanent job is working from Home temporary due to Covid 19 emergency. This position will deploy to the following location at a future date:

383 Ave F D Roosevelt. San Juan, PR 00918. Building Angel Ramos 3rd Floor

Scheduled Weekly Hours

40

Company info

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