
RN Case Manager – Care Transitions, Bilingual Spanish, California RN License Required
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in California.
• Develop personalized discharge plans in collaboration with patients, their families, and the care team.
• Facilitate care coordination among providers, rehabilitation facilities, and home health agencies.
• Track patient progress and modify plans as necessary.
• Inform and empower patients and their families regarding self-care and follow-up procedures.
• Advocate for patient needs and link them to community support services.
• Engage in care conferences, quality improvement efforts, and interdisciplinary teamwork.
• Assist members in transitioning safely from hospital or skilled nursing facility stays back to their homes.
• Deliver education, support, and coordination that positively influence health outcomes.
• Oversee discharge planning, referrals, and community resource connections.
• Minimum of 5 years of clinical case management experience, or a comparable combination of education and experience.
• Current, unrestricted RN license in California.
• Willingness to obtain additional state licenses.
• Familiarity with Medicare Managed Care Plans.
• Understanding of insurance regulations.
• Awareness of community resources.
• Proficiency in bilingual Spanish.
• Excellent communication, problem-solving, and organizational abilities.
• Capacity to perform essential physical functions, including frequent standing, walking, sitting, using hands, reaching, talking, and hearing.
• Ability to lift and/or move up to 10 pounds regularly.
• Fully remote position with flexible scheduling options.
• Opportunity to lead meaningful patient care initiatives.
• Collaborate with a supportive interdisciplinary team.
• Access to professional growth and continuous learning opportunities.
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