Bilingual Spanish Telephonic RN Nurse Case Manager

Responsibilities

• Provide telephonic case management to medically complex and chronically ill members
• Conduct comprehensive health assessments and create individualized care plans
• Coordinate care with internal and external partners, including physicians and specialists
• Educate members and caregivers on disease management and preventive care
• Monitor member progress and advocate for timely, appropriate interventions
• Identify and help resolve service or access issues impacting care quality

Requirements

• Active, unrestricted RN license in California (Non-Compact)
• Minimum 2 years of clinical nursing experience
• At least 1 year of case management experience
• Proficiency with Microsoft Office (Word, Excel, Outlook)
• Bilingual (Spanish, Korean, Mandarin, etc.) (Nice-to-Haves)
• Previous health plan or IPA experience (Nice-to-Haves)
• Bachelor's Degree in Nursing (BSN) (Nice-to-Haves)