Job Title: Care Manager, Telephonic Nurse 1
Company: Humana
Location: Puerto Rico (Must reside in Puerto Rico)
Job Type: Full-time (40 hours/week)

Job Description:

Humana is looking for a passionate and dedicated Care Manager, Telephonic Nurse 1 to join our team. In this role, you will work remotely to assess and evaluate members’ needs and guide them toward the appropriate resources for optimal wellness. You’ll help members achieve and maintain their health goals by utilizing your nursing skills in a telephonic environment. The role involves assessing physical, environmental, and psycho-social health issues, and guiding members to overcome barriers to effective care.

You will monitor patient progress toward desired outcomes through continuous assessments, evaluations, and follow-ups, ensuring high-quality care delivery while adhering to professional standards.

Key Responsibilities:

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Assess members’ needs to facilitate optimal health and wellness outcomes.
Guide members and families towards appropriate care and resources.
Resolve barriers to care, ensuring members’ progress toward their health goals.
Ensure that patients are receiving care in alignment with organizational standards.
Utilize various strategies and approaches to manage physical, psycho-social, and environmental health issues.
Make decisions on work approach and priorities, following guidelines, regulations, and professional standards.

Required Qualifications:

Must reside in Puerto Rico.
Fully bilingual in English/Spanish.
2+ years of relevant experience in nursing or related field.
Licensed Practical Nurse (LPN) in Puerto Rico or equivalent with no disciplinary action.
Comprehensive knowledge of Microsoft Office applications (Word, Excel, and Outlook).
Passionate about contributing to an organization focused on improving consumer experiences.

Preferred Qualifications:

Experience with Medicare.
Previous experience with electronic case note documentation.
Experience working with the geriatric population.
Knowledge of health promotion, coaching, and wellness strategies.
Familiarity with community health, social service agencies, and resources.

Compensation & Benefits:

Annual Salary: $40,300 – $54,500 (based on experience).
Benefits:
- Medical, Dental, and Vision Insurance.
- Paid time off (PTO) & Paid Holidays.
- 401(k) retirement savings plan.
- Tuition reimbursement and scholarships for qualifying dependent children.
- Life insurance, disability benefits, and more.

Additional Information:

Virtual Pre-Screen: The hiring process includes a virtual pre-screen through HireVue, where you will answer questions relevant to your skills and experience. This interview should take about 10-15 minutes.
Full-time position: 40 hours per week.

About Humana:

Humana is a leader in healthcare services, dedicated to putting health first for our teammates, customers, and communities. We serve millions of people through our insurance and healthcare services, improving quality of life for individuals, families, military personnel, and seniors.

Equal Opportunity Employer:

Humana is committed to diversity and equal opportunity in employment. We do not discriminate against any employee or applicant based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, disability, or veteran status.

If you’re passionate about making a difference in the health and wellness of others, apply today to become a part of Humana’s caring community!

Care Manager, Telephonic Nurse 1 – Remote PR ID-4018