Remote Bilingual Spanish Telephonic RN Nurse Case Manager -Special Needs Plan (California RN Required)
Core
Telephonic Registered Nurse Case Manager providing care coordination and health assessments for medically complex and chronically ill Special Needs Plan (SNP) members.
Role type
Senior IC Registered Nurse Case Manager
Builds
Individualized care plans and care coordination for high-risk senior and chronically ill populations
Domain
Healthcare / Special Needs Plans (SNP)
Required skills
Registered Nursing (RN), Case Management, Care Coordination, Health Assessments, Disease Management, Care Plan Development, Physician Coordination, Member Advocacy
Preferred skills
Bilingual (Spanish, Vietnamese, Korean, Mandarin), Health Plan or IPA experience, Bachelor of Science in Nursing (BSN)
Technologies
Microsoft Office (Word, Excel, Outlook), Teams
Responsibilities
Provide telephonic case management to medically complex and chronically ill members; Conduct comprehensive health assessments and create individualized care plans; Coordinate care with internal and external partners including physicians and specialists; Educate members and caregivers on disease management and preventive care; Monitor member progress and advocate for timely, appropriate interventions; Identify and help resolve service or access issues impacting care quality.
