All roles

RN Case Manager – Special Needs Plan, Bilingual Preferred

Remote · USA Full-time New today

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

Apply tot his job Apply To this Job

Related roles

Enhanced Case Management Advocate

Remote · USA Full-time

Case Manager - Registered Nurse (EST)

Remote · USA Full-time

Clinical Case Manager - OC Interim Housing (JR 5280)

Remote · USA Full-time

Inpatient Case Manager-RN

Remote · USA Full-time

REMOTE - Registered Nurse (RN) Utilization Reviewer - Massachusetts ONLY

Remote · USA Full-time

Lead Clinical Review Nurse, OH FL IN

Remote · USA Full-time

Utilization Management Behavioral Health Registered Nurse, Multistate PT

Remote · USA Full-time

Utilization Review Assistant (Workers Compensation)

Remote · USA Full-time

[Hiring] RN Utilization Review @Providence

Remote · USA Full-time

Registered Nurse- Medical Review & Quality

Remote · USA Full-time

Senior EDI e invoicing Integration Engineer with English and German French Italian Chinese

Remote · USA Full-time

Experienced Data Entry Clerk - Overnight Shift in a Dynamic Laboratory Setting

Remote · USA Full-time

Mobile Platform Developer

Remote · USA Full-time

Senior Account Manager, tvScientific (Affiliate/CPA)

Remote · USA Full-time

Experienced Remote Data Entry Clerk - Survey Assistant - Part-time Focus Group Panelist

Remote · USA Full-time

Remote Travel Reservations Specialist

Remote · USA Full-time

Senior Software Engineer, Core Experiences - Tucson, AZ, USA

Remote · USA Full-time

Licensed Professional Counselor - Remote

Remote · USA Full-time

Experienced Customer Care Executive – Remote Opportunity at arenaflex

Remote · USA Full-time

Partner Development Manager (m/w/d)

Remote · USA Full-time