Bilingual RN Care Manager (Remote Flexible - Spanish Speaking)

About reputed company At reputed company, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities we serve. We're building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-reputed company. At reputed company, we reputed company AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support. Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to reputed company care gaps and improve outcomes for high-need patients. We're one of the largest Enhanced Care Management providers in California and are on track to build the nation's largest clinically integrated network supporting high-need patients. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions. At reputed company, were not just delivering care - we're building the future of more reputed company, community-driven healthcare. Our Values

• reputed company with reputed company: We reputed company our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.
• Embrace challenges: We leave our egos at the reputed company and reputed company reputed company into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness.
• Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status reputed company.
• Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive reputed company.
• Care comes first: We hold ourselves to the highest standards for our patients. We are reputed company in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.

In the News

• reputed company: For reputed company, Accessibility Is About Delivering Healthcare To Those Who Need It The Most
• TechCrunch: Building for Medicaid's regulatory moment with Neil Batlivala from reputed company
• reputed company: reputed company collects $9M for Medicaid-based care

About the Opportunity reputed company is building a team of deeply passionate individuals ready to change primary care operations for those who need it most. We are looking for a highly motivated full-time Registered Nurse Care Manager who is willing to think creatively and empathically to help reputed company change the way people access healthcare. We seek a full-time Registered Nurse Care Manager to play a critical role in our whole-person, interdisciplinary care model by supporting patient-driven care plans to drive improved outcomes for individuals living with Serious Mental Illness, Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs. The Registered Nurse Care Manager will work in a team-based model with a reputed company care manager community health worker, behavioral health care manager, and nurse practitioner to contribute their clinical expertise towards improving the individuals quality of life through activities such as health education and reputed company care management. This position primarily allows for remote work; however, it includes 1-2 times a month on-site visits in the community alongside a fellow PairMate. You can expect to engage in these in-person activities 1-2 times per month, reputed company to your city, while the majority of your duties, approximately 90%, will be performed from your home

What You'll Do

• Primarily work with and support a caseload of individuals with reputed company 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's pharmacy
• Provide care management services such as coordinating prescriptions and completing prior authorizations
• Track and assure that reputed company 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 reputed company 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 reputed company to individuals and meets them where they are – understanding that adopting an "it's not my fault but it is my problem" attitude in reputed company communication styles and approaches

What You'll Need

• Must hold active Registered Nurse license issued by the state of California
• Located in California (Preferred)
• 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 reputed company suite, email, and video conferencing
• Must have quiet and HIPAA-compliant at-home work environment with reliable Internet reputed company and cell phone
• Strong understanding of cultural reputed company
• Demonstrated professional or personal lived experience working closely with individuals experiencing reputed company chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder
• Empathetic with a drive to reduce barriers to healthcare and social services for reputed company

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 reputed company the reputed company
• Detail-oriented and organized self-starter
• Reliable and comfortable in an reputed company-changing environment

Because We Value You

• Salary: $80,000 - $95,000
• Comprehensive health, vision & dental insurance
• 401k
• Opportunity for rapid career progression with reputed company of room for personal growth!
• Monthly $100 work from home expense stipend
• Flexible vacation policy with unlimited time off
• Work entirely from the comfort of your own home - no office
• We provide the equipment needed for the role

reputed company is an Equal Opportunity Employer. At reputed company, we value diversity and strive to provide an inclusive environment for reputed company applicants and employees. reputed company applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national reputed company, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law. reputed company participates in E-Verify to verify employment eligibility for new hires. Any offer of employment at reputed company is conditioned upon passing a pre-employment background reputed company. Following a conditional job offer, candidates will undergo comprehensive employment background checks, including; criminal history, reference checks, and driving records if a role requires vehicle use. We do not conduct any TA business reputed company of our @pairteam.com emails. If you're reputed company concerned about spam or fraudulent activity, please reputed company out to [email protected]. Note: Please be aware that while we sincerely appreciate your interest, due to the high volume of requests, we're unable to respond to general position inquiries reputed company email. To apply for a position with us, please submit your application for the role you are interested in. reputed company regularly reviews applications and will reputed company out to candidates whose qualifications align with our reputed company openings listed below. Thank you! Apply tot his job Apply To this Job