Bilingual Transitions Of Care RN Case Manager (Healthcare)

TL;DR

Bilingual Transitions Of Care RN Case Manager (Healthcare): Providing telephonic, short-term care management for high-risk patients post-discharge with an accent on coordinating resources and reducing readmission rates. Focus on conducting comprehensive clinical assessments and developing personalized care plans in partnership with patients and caregivers.

Location: Remote (USA). Candidates must be located in CT, MT, or PT time zones.

Salary: $85,000 - $100,000 / year

Company

An integrated healthcare company on a mission to improve the health and well-being of older Americans through a combination of clinical care, insurance, and technology.

What you will do

• Engage with newly discharged patients telephonically to identify immediate needs and risk factors.
• Conduct clinical assessments to identify comorbidities, medications, psychosocial factors, and patient preferences.
• Develop and continuously evaluate personalized care plans including goals and interventions.
• Educate patients on chronic conditions, teaching them to identify red flags and manage exacerbations.
• Partner with Nurse Practitioners, Physicians, and Community Guides to ensure seamless post-discharge handoffs.
• Collaborate with PCP partners to deliver evidence-based and accessible healthcare.

Requirements

• Unrestricted Compact RN license obtained in the United States.
• 3-4 years of experience in RN Care Management or telephonic case management.
• Fully bilingual in English and Spanish.
• Must be located in CT, MT, or PT time zones.

Nice to have

• Experience with Medicare Advantage.
• Prior experience in Special Needs Plans or Population Health.
• Comfort working in an environment guided by performance and productivity metrics.

Culture & Benefits

• Employer-sponsored health, dental, and vision plans with low or no premiums.
• Generous paid time off and parental leave program.
• $100 monthly mobile or internet stipend.
• Stock options and 401K program.
• Adaptable startup environment focused on innovating healthcare delivery.