Job: Bilingual (Eng/Span) Health Planning & Support Telephonic RN

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Job Title Bilingual (Eng/Span) Health Planning & Support Telephonic RN
Category Healthcare
Job Information
Humana is seeking a Health Planning and Support (HPS) nurse to provide Humana members with general nurse advice; accepting inbound phone calls from members seeking assistance with medical questions.  Nurses are trained to act as a clinical concierge, guiding members to resources, programs and/or healthcare providers for assistance with managing chronic conditions or medical advice. The HPS nurse assesses and identifies specialty program eligibility for members with increasing need for personal health guidance. HPS Nurses will also place outbound calls to members for education and counseling on the importance of preventive screenings and treatment or medication adherence.
Key Competencies
  • Leveraging Technology: You are technological savvy and know how to appropriately share and use your knowledge to improve business results.
  • Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.
  • Is Accountable: You meet clearly stated expectations and take responsibility for achieving results.
  • Clinical Knowledge: You understand clinical program design, implementation, management/monitoring to support choice in consumer medical care. Understands the medical utilization implications of such programs
  • Communication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience.
  • Active unrestricted RN in the state(s) in which the nurse is required to practice
  • Three to five years of clinical experience; preferably in an acute care, skilled or rehabilitation clinical setting
  • Ability to obtain multi-state licensure
  • Previous insurance experience or workers comp experience
  • Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10-panel drug test


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