Care Manager Telephonic Nurse

Profile

Description

The Care Manager, Telephonic Nurse, 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 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Care Manager, Telephonic Nurse employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psychosocial 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.

Responsibilities

The Care Manager, Telephonic Nurse, 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 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Care Manager, Telephonic Nurse employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psychosocial 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.

RESUME must be in English

Required Qualifications

Active Registered Nurse (R.N.) license from any state by examination

If you do not have an Active RN license from passing the NCLEX you must have an Active Register Nurse License from Puerto Rico and meet one of the following criteria:

2 consecutive years of experience as RN of the preceding 3 years (no gaps in employment) and apply for FL RN license endorsement as soon as employment offer is accepted. OR

Graduated from an Accreditation Commission for Education in Nursing (ACEN) or Commission on Collegiate Nursing Education (CCNE) accredited nursing program, must successfully complete and pass the NCLEX exam within 60 days of employment

Other Requirements:

Demonstrated clinical knowledge and experience with adult chronic conditions

Intermediate computer skills and experience with Microsoft Word and Excel

Proficient typing and computer navigation skills

Capacity to multi-task including use of multiple computer applications simultaneously

Effective communication and interpersonal skills

Effective problem solving and appropriate application of clinical knowledge

Able to work 40 hours and adjust work schedule according to business need including occasional weekends

Bilingual in Spanish and English. Must be able to speak, read, and write in both languages without limitation or assistance. See Additional Information about testing

Preferred Qualifications

Bachelor's (BSN) or Master's (MSN) degree in nursing

Successful completion of National Council Licensure Examination (NCLEX)

Previous managed care experience

Basic knowledge of complex care management and care management principles

Experience with motivational interviewing

Experience with behavior change, health promotion, coaching and wellness

Additional Information

Address: Professional Office Park POP V, Tower 3, 7th floor, Oriental Bank Building 997 San Roberto St. San Juan, PR 00926

Our Hiring Process

After submitting your application, if you are selected to move forward you may be contacted via text message and email to gather more information. We use a software platform called Montage. Montage Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.

Language Proficiency Testing

Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

Humana Perks:

Full time associates enjoy competitive pay and a comprehensive benefits package that includes:

Two types of Medical plans with pharmacy coverage

Dental, Vision & Life Insurance offered

401 k Retirement Savings Plan offered after 45 days of employment.

Spouse / partner coverage

Paid time off & Paid Holidays

Well-being programs where you can earn additional money, gift cards, or prizes for healthy behavior and wellness activities.

Volunteer Day Off

Education reimbursement and/or scholarships for qualifying dependent children

Parental leave include maternity, paternity and child adoption leave

Scheduled Weekly Hours

40

Company info

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