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RN Case Manager – Special Needs Plan, Bilingual Preferred

Work from home Full-time role Hiring

Job Description:

  • 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-Have)
  • Previous health plan or IPA experience (Nice-to-Have)
  • Bachelor's Degree in Nursing (BSN) (Nice-to-Have)

Benefits:

  • Competitive compensation
  • Full suite of health benefits (medical, dental, vision)
  • 401(k) with employer match
  • Generous PTO and paid holidays
  • Career growth and continuing education support
  • Rewarding referral bonuses for successful hires

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