Bilingual RN Care Manager – Spanish Speaking

Bilingual RN Care Manager – Spanish Speaking

Requirements

• Must hold active Registered Nurse license issued by the state of California
• Previous experience in care coordination or case management
• 2-3+ years of experience working for a health plan or at-risk provider
• Bilingual – English/Spanish
• Strong technical skills and comfort with new technology innovation, past experience with CRM databases, basic Google suite, email, and video conferencing
• Must have quiet and HIPAA-compliant at-home work environment with reliable Internet connection and cell phone
• Strong understanding of cultural fluency
• Demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder
• Empathetic with a drive to reduce barriers to healthcare and social services for underserved communities

Responsibilities

• Primarily work with and support a caseload of individuals with complex medical needs
• Work with individual to identify health/wellness goals and incorporate goals into a Shared Care Plan
• Educate individuals on medical and behavioral health conditions (including medication) to improve health literacy
• Provide medication reconciliation in collaboration with the individuals’ pharmacy
• Provide care management services such as coordinating prescriptions and completing prior authorizations
• Track and assure that all required assessments and screenings are performed
• Collaborate with multidisciplinary care team to identify and address barriers to care
• Identify clinical needs and triage escalations, providing brief interventions as necessary, with support from nurse practitioner clinicians
• Collaborate on care issues with Enhanced Care Management team by participating in systematic case reviews
• Consult with Enhanced Care Management team about clinical concerns or questions, provide educational training on chronic disease states, prevention, treatment, meds, and healthy living
• Build trust and develop relationships with individuals experiencing homelessness, living with Severe Mental Illness/Substance Use Disorder, and living with multiple chronic conditions
• Use relationship-based strategies to engage individuals in care, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
• Seeks to listen openly to individuals and meets them where they are – understanding that adopting an “it’s not my fault but it is my problem” attitude in all communication styles and approaches

Preferred Qualifications

• A fantastic listener and skilled at “reading people” – able to understand how others may be feeling or thinking based on nuances, uncomfortable silences, or questions they ask
• Excellent communication skills
• Takes accountability to resolve a patient’s needs to the best of his/her/their abilities
• Comfortable building relationships with new people
• Zest for problem solving, seeking answers, and thinking outside the box
• Detail-oriented and organized self-starter
• Reliable and comfortable in an ever-changing environment