Bilingual

• Telephonically assess Medicare, Medicaid, and/or Group Account members and create actionable and measurable care plans
• Provide telephonic outreach to assess and support members' health, offering education, identifying resources, and helping remove barriers
• 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 (social workers, dietitians, pharmacists, etc.)
• Employ a variety of strategies/techniques to manage conditions and provide timely intervention
• Meet quality and productivity measures daily while working from home
• Perform majority of member contact via telephone using an auto-dialer system and navigate multiple computer applications concurrently
• Complete initial training (first 4 weeks) on specified EST schedule and start regular shift thereafter
• Maintain compliance with program requirements and protect member PHI/HIPAA
• Occasional travel to Humana offices for training or meetings may be required

Bilingual RN Care Manager

Bilingual Community Health Worker

Bilingual Case Manager, Spanish Speaking

Bilingual Case Manager, Spanish Speaking

Bilingual Case Manager, Spanish Speaking

Bilingual Case Manager, Spanish Speaking