Bilingual RN Care Manager

Humana

Bilingual RN Care Manager in remote, nationwide capacity providing telephonic assessment and support for Medicare and Medicaid members. Focused on improving healthcare outcomes through personalized care plans and teamwork.

Posted 7/2/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $71,100 - $97,800 per yearWebsite

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

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.

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

Telephonic AssessmentCare PlanningChronic Condition ManagementClinical KnowledgeAutonomous Decision-Making

Soft Skills

Effective CommunicationProblem SolvingTime Management

Certifications

Active Compact Nursing License