Bilingual RN Care Manager

Role Overview

• 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

• 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

• 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