Posted 11 months ago
Bilingual RN Case Manager
AI Summary
A bilingual RN Case Manager provides telephonic case management and utilization review, coordinating care and developing individualized care plans to ensure quality, cost-effective outcomes for assigned consumers.
About this role
Bilingual RN Case Manager
Location: Remote.
We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the continuum of care. The RN Case Manager will assess, plan, implement, coordinate, monitor, and evaluate care for assigned consumers, ensuring quality outcomes and cost-effective treatment.
Key Responsibilities:
- Provide telephonic case management and utilization review for assigned consumers.
- Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
- Collaborate with healthcare providers, payors, and internal teams to coordinate care.
- Serve as a liaison between consumers and benefit administrators, ensuring clear communication and support.
- Track and report case outcomes, including cost savings and quality improvements.
Qualifications:
- Bilingual: the ability to speak Spanish
- Education: RN licensure in the State of Iowa required. BSN or higher preferred.
- Experience: Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred.
- Skills: Strong communication, problem-solving, and computer skills. Ability to work independently.
Full-Time Benefits - Most benefits start day 1
- Medical, Dental, Vision Insurance
- Flex Spending or HSA
- 401(k) with company match
- Profit-Sharing/Defined Contribution (1-year waiting period)
- PTO/Paid Holidays
- Company-paid ST and LT Disability
- Maternity Leave/Parental Leave
- Subsidized Parking
- Company-paid Term Life/Accidental Death Insurance
About HealthCheck360
HealthCheck 360 was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through our Health Coaching and Condition Management programs.
Skills
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