Bilingual RN Care Manager

Become a part of our caring community We are seeking compassionate and motivated Registered Nurses to join our team in Puerto Rico as a RN Care Manager. This is a remote, Work-At-Home position, but you must live in Puerto Rico to be considered. You will report directly to a Manager of Care Management and support our CarePlus and Humana members with chronic and complex health conditions through telephonic care management. You will build strong relationships with members through communication and engagement and use your clinical knowledge to assess and evaluate their needs to achieve or maintain an optimal wellness state. We are looking for bilingual RNs who are proficient in both Spanish and English. Succes in the role requires a strong knowledge of chronic condition management including treatment plans, pharmacological treatment, and signs and symptoms. Please be advised, our screening and interview process is conducted entirely in English, and if selected for this position, you will be required to pass language proficiency tests in both English and Spanish before we can extend an offer. The Care Manager, Telephonic Nurse employs a variety of strategies and techniques to manage a member's physical, environmental and psycho-social health issues. Responsibilities include the following: Identify and resolve barriers that hinder effective care. Ensure patient is progressing towards desired outcomes by managing patient care through assessments and evaluations. Monitor member progress and adjust care strategies to ensure optimal outcomes Assist in developing and implementing individualized care plans Collaborate with interdisciplinary teams to coordinate care and services Manage your daily tasks, maintain accurate documentation and follow established guidelines and procedures Use your skills to make an impact Required Qualifications Bachelor's Degree in Nursing (BSN) Bilingual in English and Spanish (with the ability to pass language proficiency tests in both languages) Active RN license without restrictions in Puerto Rico Active RN license without restrictions in Florida Affiliation with the CPEPR (Colegio de Profesionales de Enfermería de Puerto Rico). Prior clinical experience in adult acute care, skilled nursing, rehabilitation or discharge planning Knowledge in Chronic Condition management (treatment, pharmacological treatment, signs and symptoms) such as Diabetes, Hypertension, COPD, and chronic kidney disease Work an 8-hour shift between 8:30 AM - 5:30 PM EST and adjusted for Daylight Savings We can adjust the work schedule according to business needs or if overtime is needed (including weekends).

Health Plan experience Previous Case Management Experience Call center or triage experience 1+ years of experience managing Medicare members Work-At-Home Requirements To ensure Home or Hybrid Home/Office employees' internet connectivity, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: We require at minimum a download speed of 25 Mbps and an upload speed of 10 Mbps; we suggest a wireless, wired cable or DSL connection. Satellite, cellular and microwave connection can only be used if leadership approves it. Humana will provide Work-At-Home employees with telephone equipment appropriate to meet the requirements for their position/job. Work from a dedicated space lacking