Bilingual RN Care Manager - Remote, nationwide
Humana
Swindon, England, United Kingdom
Full-Time
$71,100
RemoteManager
The first 4 weeks of training will be from 8:30AM to 5:00PM EST. No time off is permitted during the first month of training. Following training, the start time is 10:00AM -6:30PM EST. Must be bilingual in Spanish and English.
Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. We contact members with multiple chronic conditions as well as financial and functional barriers in order to assist them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering education, identifying resources, and helping remove barriers to achieving health and independence, while using a multidisciplinary team.
This position will be part of our Special Needs Program (SNP) team. All of our SNP RN Care Managers are work at home associates, working from a dedicated home office space. Work at home care managers are responsible for meeting quality and productivity measures daily and maintaining working home internet at all times with demonstrated advanced communication and interpersonal skills.
This is a very compliance driven and highly visible program at Humana. The nature of the work requires telephonic interaction with members during the majority of the business day, primarily through an auto dialer system. Environment is fast paced and requires ability to engage quickly with member while concurrently navigating multiple computer applications. Due to the auto dialer process and compliance needs of the business there is limited day to day flexibility in care manager’s schedule.
Duties:
Telephonically assess Medicare, Medicaid, and/or and Group Account members and create actionable and measurable care plans to help guide and track the members' progress toward goals
Use nursing judgment to assess and coordinate care for acute situations (APS, EMS)
Discuss transitions of care to assist with safe discharge to the home and coordinate care for DME, home health, provider appointments, etc.
Guide members and their families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
Assess member’s physical, environmental and psycho-social health issues and work in collaboration with a multi-disciplinary team, such as social workers, dietitians, pharmacists, etc., employing a variety of strategies/techniques to manage appropriately and provide timely intervention
Active Registered Nurse (R.N.) license with no disciplinary action.
Hold an active Compact nursing license and reside in the state that holds your compact license.
Must be bilingual in Spanish and English - resume must be submitted in English
Oral and written fluency in Spanish and English - ability to pass a language test will be required.
Minimum education of an Associates degree in Nursing.
Minimum of 3 years of clinical RN experience.
Experience using clinical knowledge to manage various adult chronic conditions, including development and implementation of individualized care planning.
Proficient computer skills with ability to quickly learn and navigate multiple systems, utilizing dual computer monitors.
Experience with Microsoft and Excel
Provide autonomous decision-making, troubleshooting and problem solving related to periodic system issues.
Capacity to manage multiple or competing priorities including use of multiple computer applications simultaneously.
Effective telephonic and virtual communication skills.
Must have a separate room with a locked door that can be used as a home-office to ensure you and your members have absolute and continuous privacy while you work.
Preferred Qualifications
BSN or MSN degree in nursing or equivalent
Previous adult chronic conditions care management
Previous experience in care management including knowledge of complex care management and care management principles
Experience with motivational interviewing
Experience with MCG or CMS guidelines, assessment and documentation practice
Case Management certification (CCM)
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 07-23-2026
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.