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4d ago Curated

Bilingual RN Care Manager

Humana
  • Case Management
  • Full-time
  • $56,900 – $78,200
  • License: Florida, Puerto Rico

Job description

Remote, telephonic care management role supporting members with chronic conditions. Must reside in Puerto Rico and be fully bilingual in English/Spanish (proficiency testing required in both). The RN Care Manager assesses members' physical, environmental, and psycho-social needs, develops and manages care plans, resolves barriers to care, and guides members toward appropriate resources. Members typically have chronic conditions including diabetes, hypertension, COPD, and chronic kidney disease, with a Medicare population focus. Work involves telephonic outreach, ongoing assessments, and coordination with internal teams under general guidelines with minimal direct supervision. Schedule: 8:30 AM–5:30 PM EST, 40 hours/week, with occasional overtime or weekend coverage as business needs require. Occasional travel to Humana offices for training or meetings may be required. Required: BSN, active unrestricted RN license in both Puerto Rico and Florida, CPEPR affiliation, bilingual English/Spanish with proficiency testing, and prior clinical experience in adult acute care, skilled nursing, rehab, or discharge planning. Preferred: health plan experience, prior case management, call center/triage experience, and Medicare member experience. Salary: $56,900–$78,200 plus bonus eligibility. Home office requires minimum 25 Mbps down / 10 Mbps up internet and a private, HIPAA-compliant workspace.

Key responsibilities

  • Telephonically assess members with chronic conditions to determine wellness status and next steps
  • Develop and manage member care plans
  • Resolve barriers that hinder care and coordinate appropriate resources
  • Monitor patient progress toward desired outcomes through ongoing assessments

What you bring

  • Active unrestricted RN license in Puerto Rico AND Florida
  • Bilingual English/Spanish (speaking, reading, writing - proficiency tested)
  • BSN required
  • CPEPR affiliation
  • Clinical experience in adult acute care, SNF, rehab, or discharge planning
  • Knowledge of chronic condition management (diabetes, HTN, COPD, CKD)

Tags

RemoteBilingualPuerto RicoMedicareTelephonic

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