Frontline Leader (Bilingual - Spanish/English) - Miami Dade County, FL
at Humana Veterans

Date Posted: 7/6/2017

Job Description

Role: Frontline Leader (Social Worker/RN/LPN)
Assignment: Humana Long -Term Care
Location: Work At Home – Miami Dade County, FL
Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and providers in a nontraditional environment where your knowledge will make a difference. Our associates know their work is vitally important; we strive to ensure we provide perfect service with one-on-one member interactions as a coach, personal nurse, or clinical advisor. Humana’s Perfect Service® means getting the basics done right, delivering value and quality, providing guidance on needs, and being engaged with our members. We want to help our members make the right choices to live life fully. We begin that process by connecting our members with an associate who cares.
Assignment Capsule
Be part of a clinical leadership team, where we provide innovative health solutions to members and providers.
Humana Long -Term Care is seeking a work-at-home Frontline Leader who will hire, lead, and develop clinical and non- clinical professional associates. You will oversee the daily, onsite, and medical management activities of a team of Care Coaches. You will collaborate with health care givers in reviewing actual and proposed medical care and services against established Guidelines.
As a Frontline Leader you will:

  • Report trends

  • Develop system-view recommendations

  • Implement appropriate actions to control trend

  • Create and conducts provider outreach initiatives

  • Ensure compliance with regulatory requirements

  • Recommend services for Humana Plan members utilizing care alternatives available within the community and nationally

  • Recommend alternatives if appropriate using your knowledge of clinical protocols

  • Identify members for specific case management and / or disease management activities

  • Monitor case management activities, post-discharge calls, discharge planning and pre-assessment of elective admissions

  • Requires 25% travel, the rest will be work from home.

Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Work Enviroment:  Virtual/Work At Home

Travel:  Yes, 25 % of the Time

Job Snapshot

  • Employee Type: Full-Time
  • Location: Miami, FL
  • Job Type: Management
  • Experience: Not Specified
  • Date Posted: 7/6/2017

About Us

Humana prides itself on having a noble purpose to help millions of Americans achieve lifelong well-being. We know that our success is created by hiring the best and brightest who believe it is possible to change the future of health care in this country…and they want to be part of it.

We are committed to putting Veterans back to work. Based on our own extensive experience working with Veterans in our company, we already know what you're capable of offering to Humana. At Humana you'll be able to apply your leadership experience from the military to your work, as well as commit yourself to an inspiring vision that allows you the opportunity to continue to serve an important purpose.

At Humana, our associates find themselves in a community of genuinely caring people. Our sense of integrity defines how we think, feel, and act. Humana associates build sincere relationships where they are connected and collaborative, and feel comfortable and respected.

For both Veterans and spouses of Veterans, we invite you to bring your knowledge and skills to Humana to continue your professional journey.

We have jobs available throughout the company and we’re especially interested in considering Veterans and their spouses in the following focus areas: Nurses, Information Technology, Pharmacy, Sales, and Actuarial, Underwriting and Data Analytics.

To hear more about Humana's dream,take a moment to hear from our Chief Executive Officer, Bruce Broussard.

Are you looking for a new job? Check out these current opportunities: Actuarial and Analytics Jobs, Clinical and Health Practitioners Jobs, Information Technology Jobs, Pharmacy Jobs, Sales and Provider Relations Jobs and Service Operations Jobs

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