Bilingual Spanish Telephonic RN Nurse Case Manager – Special Needs Plan

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

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

• Perform thorough health assessments and develop personalized care plans.

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

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

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

• Identify and assist in resolving service or access issues that may affect the quality of care.

• Conduct all communications through phone, email, and Teams.

• Work from a home-based environment during Pacific Time hours.

⛳️ Requirements

• Must hold an active, unrestricted RN license in California (Non-Compact).

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

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

• Proficiency in Microsoft Office applications, including Word, Excel, and Outlook, is essential.

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

• A HIPAA-compliant workspace is mandatory.

• A California RN license is essential; this position is not available to LVNs.

🏝️ Benefits

• Comprehensive health benefits package (including medical, dental, and vision).

• 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 candidate placements.

• Provision of company equipment and IT support included.