Bilingual RN- Work at home

Puerto Rico

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must possess a Bachelor's Degree in Nursing (BSN) and be fully bilingual in English and Spanish, capable of passing language proficiency tests in speaking, reading, and writing. An active RN license without restrictions in Puerto Rico is required, along with an active RN license in Florida or proof of having passed the NCLEX exam. Affiliation with the CPEPR is necessary. Prior clinical experience in adult acute care, skilled nursing, rehabilitation, or discharge planning is essential, as is knowledge of chronic condition management, including diabetes, hypertension, COPD, and chronic kidney disease. The ability to work independently with minimal supervision and as part of a team is also required. For remote work, a reliable internet connection with at least 25 Mbps download and 10 Mbps upload speeds is necessary, and candidates must have a dedicated workspace free from interruptions.

Responsibilities

The Care Manager, Telephonic Nurse will assess and evaluate members' needs and requirements to achieve optimal wellness, guiding members with chronic conditions toward appropriate resources. Responsibilities include identifying and resolving barriers to effective care, continuously monitoring patient progress through assessments, and potentially creating member care plans. The role involves understanding departmental and organizational strategies and making independent decisions regarding work methods within established guidelines.

Skills

Bilingual (English/Spanish)

Nursing

Telephonic Care Management

Member Assessment

Care Planning

Problem-Solving

Clinical Knowledge

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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