Care Manager, Telephonic Nurse 1 – Humana
Location: Puerto Rico
Position Type: Full-time
Compensation: $40,300 – $54,500 per year
Scheduled Weekly Hours: 40
Job Overview:
As a Care Manager, Telephonic Nurse 1 at Humana, you’ll play a crucial role in assessing and managing the healthcare needs of members in a telephonic environment. You’ll guide members and their families toward achieving optimal wellness by connecting them with the right resources and services. Your responsibilities include monitoring care progress, identifying and addressing barriers to care, and helping patients achieve their health goals through continuous support and assessment.
Key Responsibilities:
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- Conduct telephonic assessments to evaluate members’ physical, environmental, and psycho-social health needs.
- Assist in managing care and guiding members toward appropriate resources.
- Resolve barriers to effective care, ensuring that patients make progress toward desired health outcomes.
- Apply professional concepts and operating standards to manage assigned tasks, using documented procedures and professional guidelines.
- Make decisions regarding priorities and approaches, often following established procedures with some interpretation.
Required Qualifications:
- Must reside in Puerto Rico.
- Fully bilingual (English/Spanish).
- At least 2 years of relevant healthcare experience.
- Licensed Practical Nurse (LPN) in Puerto Rico or equivalent with no disciplinary actions.
- Proficient in Microsoft Office applications (Word, Excel, Outlook).
- Passionate about improving consumer experiences and contributing to an organization focused on member wellness.
Preferred Qualifications:
- Prior experience with Medicare.
- Familiarity with electronic case note documentation and various computer systems.
- Experience working with the geriatric population.
- Knowledge of health promotion, wellness coaching, and community health resources.
Additional Information:
- Humana Perks:
- Medical, Dental, Vision, and other supplemental insurances.
- Paid time off (PTO) & paid holidays.
- 401(k) retirement savings plan.
- Tuition reimbursement and scholarships for qualifying dependents.
- Virtual Pre-Screen:
Humana uses HireVue for virtual pre-screens. If selected, you’ll be invited to participate in a brief 10-15 minute virtual interview.
About Humana: Humana is dedicated to putting health first for its teammates, customers, and the community. By offering health insurance services and healthcare through CenterWell, Humana provides the necessary care and support to help people lead healthier lives, especially individuals with Medicare, Medicaid, and other health programs. Humana values diversity and offers equal opportunities in employment.
This role provides an opportunity to impact member health and well-being while working in a dynamic telephonic care management environment. If you’re passionate about healthcare, bilingual, and experienced in case management, this could be a great fit for you!
Care Manager, Telephonic Nurse 1 – Remote PR ID-4027
