
Bilingual RN Case Manager – Transitions of Care
Posted 21 hours ago

Posted 21 hours ago
This is a fully remote position, open to applicants in Arizona, +3 more states.
• Communicating with our recently discharged patients via telephone to assess their requirements.
• Performing evaluations to discover comorbid conditions, emergency department/hospitalization history, medications, psychosocial factors, and patient values and preferences.
• Creating care plans in collaboration with patients and their caregivers, addressing issues, setting goals, and implementing interventions while continuously monitoring the patient’s progress.
• Simplifying complex medical terminology into understandable language.
• Providing education on chronic conditions, including recognizing "red flags," formulating plans during exacerbations, and identifying obstacles to critical care elements such as medication adherence.
• Listening for red flags and delivering proactive care management to bridge any gaps.
• Collaborating with TOC Nurse Practitioners and Physicians to ensure seamless transitions, thorough follow-up, and coordinated care during the post-discharge phase.
• Referring patients to Devoted Medical when appropriate and actively working together on patient care.
• Partnering with Devoted Community Guides (local social workers) to connect patients with community-based organizations that assist in achieving their goals.
• Organizing post-treatment care and durable medical equipment (DME) requirements.
• Working in close collaboration with our primary care provider partners to coordinate care and provide evidence-based, effective, and accessible healthcare.
• An unrestricted Compact RN license acquired in the United States, with the capacity to obtain licenses in other states.
• 3-4 years of experience in RN Care Management or telephonic case management.
• Fully bilingual in English and Spanish.
• Employer-sponsored health, dental, and vision plans with low or no premium.
• Generous paid time off.
• $100 monthly stipend for mobile or internet expenses.
• Stock options available for all employees.
• Bonus eligibility for all positions excluding Director and above; commission eligibility for Sales positions.
• Parental leave program.
• 401K program.
• And more....
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