Bilingual Spanish RN Case Manager – Medicare Special Needs Program

This is a fully remote position, open to applicants in California, +1 more state.

📋 Description

• Deliver telephonic case management to Medicare Special Needs Plan members who are medically complex and chronically ill.

• Carry out thorough health assessments and develop personalized care plans.

• Collaborate with both internal and external partners, including physicians and specialists, to ensure coordinated care.

• Provide education to members and caregivers about disease management and preventive healthcare.

• Track member progress and advocate for timely and appropriate interventions.

• Identify and assist in resolving service or access challenges affecting care quality.

• Communicate through phone, email, and Teams platforms.

• Execute essential physical tasks such as talking, hearing, standing, walking, sitting, handling objects or controls, reaching, and occasionally lifting or moving up to 10 pounds.

⛳️ Requirements

• Active, unrestricted RN license in California (Non-Compact) is required upon hire.

• A minimum of 2 years of clinical nursing experience is necessary.

• At least 1 year of experience in case management is required.

• Proficiency in Microsoft Office applications (Word, Excel, Outlook) is essential.

• Willingness to obtain RN licensure in Nevada, Arizona, North Carolina, and Texas; the company will reimburse associated costs.

• Must be available to work during Pacific Time hours.

• A HIPAA-compliant workspace is needed.

• Bilingual candidates are strongly preferred, especially those fluent in Spanish and Vietnamese.

• Previous experience with health plans or IPAs is preferred.

• A Bachelor's Degree in Nursing (BSN) is preferred.

• This position is not open to LVNs.

🏝️ Benefits

• Competitive salary.

• Comprehensive health benefits, including medical, dental, and vision coverage.

• 401(k) plan with employer matching.

• Generous paid time off (PTO) and paid holidays.

• Opportunities for career advancement and support for continuing education.

• Attractive referral bonuses for successful hires.

• Company-provided equipment and IT support are included.

• Reasonable accommodations may be made to assist individuals with disabilities in performing essential functions.