Bilingual Care Management Support
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Bilingual care management support assistant helping Humana members in Puerto Rico access care, benefits, and health resources. Conducting assessments and managing high-volume phone interactions.
Responsibilities:
- Engage members by phone to encourage participation in care management programs
- Complete required assessments and questionnaires to identify health risks, care needs, and opportunities for clinical team follow-up
- Assist members with scheduling doctor’s appointments and connecting with appropriate care resources
- Identify and help address barriers to preventive screenings, benefits, and health-related services
- Support members in understanding, retaining, and accessing health-related benefits
- Manage inbound and outbound calls in an auto-dialer environment
- Document member information across applications and platforms
- Create positive member experiences through respectful, patient, and professional interactions
- Apply department guidelines, training, tools, and procedures
- Work independently, manage time, and adapt to changing healthcare priorities and business processes
Requirements:
- Must live in Puerto Rico to be eligible
- Bilingual proficiency in English and Spanish
- Ability to pass required language proficiency assessments in English and Spanish
- Minimum 1 year of experience managing high-volume inbound and outbound calls
- Experience meeting documented productivity, quality, or service performance metrics
- Experience navigating, documenting, and updating member or customer information across multiple applications, programs, and platforms
- Experience using Microsoft Word, Excel, Teams, and Outlook
- Ability to work a scheduled 8-hour shift, including a 1-hour lunch, between 11:00 AM and 8:00 PM EST as assigned
- Ability to work in a fast-paced call center environment
- During the first 2 weeks of training, hours are 9:00 AM to 5:30 PM EST
- No time off permitted during the 2-week training period
- Management approval required for time off during the first 90 days
- Occasional mandatory overtime, including evenings and weekends, may be required
- Home internet with minimum 25 Mbps download and 10 Mbps upload speeds
- Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information
Benefits:
- Medical, dental and vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Self-provided internet service support requirements for home work, including minimum 25 Mbps download and 10 Mbps upload
- Remote work from a dedicated space lacking ongoing interruptions
- Occasional travel to Humana offices for training or meetings may be required
Similar Jobs
Case Manager Assistant, LPN – Bilingual
MedWatch, a population health management company, seeks a bilingual remote Case Manager Assistant/LPN. Coordinating patient care, authorizations, documentation, and provider relationships under RN supervision.
Case Manager, RN – Bilingual
Bilingual RN Case Manager coordinating care, authorizations, and medical-necessity reviews for MedWatch’s population health programs. Managing patient cases, payer communications, care plans, and quality improvement remotely.
Bilingual Care Management Support Assistant
Bilingual Care Management Support Assistant helping Humana members access healthcare resources by phone. Completing assessments, addressing care barriers, and documenting member information remotely.
Bilingual Certified Medical Assistant – English/Spanish
Certified Medical Assistant supporting Twin Health’s AI-powered metabolic care program. Handling member onboarding, intake, scheduling, documentation, and care-management administration remotely in the USA.
Bilingual Consulting Clinician – MADRS Experience
Clinician conducting remote clinical interviews and cognitive assessments for pharmaceutical research studies. Fully remote position requiring a doctorate and relevant experience in neuropsychology.
Virtual Estate Specialist – Bilingual, French/English
Virtual Estate Specialist supporting estate-related settlements for deceased BMO customers. Collaborating with executors, liquidators, and branch employees to enhance customer experience and ensure compliance.
Bilingual Closer
Closer Bilingue conducting sales calls via Zoom and phone with US home service business owners. Qualifying prospects and closing leads for a performance-based lead generation offer.
Bilingual Virtual Dental Receptionist
Bilingual Virtual Dental Receptionist managing patient calls and appointments for dental practice. Ensuring efficient patient communication and excellent customer service in a remote setting.
Spanish Bilingual, Property Manager
Bilingual Property Management Virtual Assistant providing services to US clients and managing tenant relations. Responsible for administrative tasks, maintenance coordination, and social media support.
Registered Nurse, USRN - English/Spanish Bilingual
Texas-licensed USRN providing virtual nursing support while working remotely with U.S. healthcare teams. Focusing on patient care coordination and regulatory compliance.
Bilingual Patient Access Liaison
Bilingual Patient Access Liaison providing reimbursement and non-medical educational support to patients in the U.S. Collaborating with HCP staff and caregivers while optimizing therapy adherence.
Bilingual Patient Care Representative
Bilingual Patient Care Representative providing compassionate support and education on medical cannabis treatment. Managing patient interactions and coordinating with healthcare professionals across Canada.
Bilingual Workers' Compensation Care Coordinator
Workers' Compensation Care Coordinator at Carisk Partners analyzing patient needs and developing care plans. Collaborating with medical professionals and managing patient progress towards rehabilitation goals.
Bilingual Nurse Care Coordinator
Care Coordinator Nurse providing care coordination for Medicaid and Medicare members. Responsible for building trusted relationships and addressing members' medical and social needs.
Bilingual Personal Injury Demand Manager
Bilingual Personal Injury Demand Manager leading a remote Demand Department at The Ward Law Group. Focused on operational performance and team development in a fully remote environment.
Chaplain, Bilingual Spanish
Part-Time Chaplain providing spiritual care and support to employees and families at Marketplace Chaplains. Interacting weekly and providing assistance whenever needed.
Chaplain, Bilingual Spanish Required
Chaplain providing spiritual and emotional support to company employees and their families. Regularly visits worksites and offers assistance with personal issues and crises.
Customer Solutions Specialist, Bilingual
Customer Solutions Specialist engaging in IGS energy’s sustainability journey and providing exceptional customer experiences. Build connections and educate on products with customer interactions.
Care Coordinator, LPN/RN, Bilingual (Spanish/English)
Care Coordinator providing care coordination for Medicaid and Medicare Advantage members while working remotely. Engage with members to improve their health needs and coordinate care effectively.
Bilingual Mortgage Fulfilment Officer
Bilingual Mortgage Fulfilment Officer at Manulife Bank verifying residential mortgage applications and preparing mortgage-related transactions. Collaborate with internal partners and ensure customer service standards are met.