Bilingual Nurse Care Coordinator

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86Borders

WebsiteLinkedInAll Job Openings

11 - 50 employees

💰 $392k Venture Round on 2017-10

86Borders improves a health plan’s Star Ratings and other quality metrics by uniquely engaging with their most vulnerable members including DSNP, Medicare Advantage, and Medicaid. We combine empathetic care coordination with purpose-built technology and AI informed interventions to address member experience including MLR, HEDIS/HOS, CAHPS, SDOH and other quality metrics.

📋 Description

• Conduct outreach to motivate, facilitate, and educate members about the benefits of programs • Conduct assessments of the member’s status and develop a care plan with the member to address their goals • Assessments are conducted by telephone and/or text • Evaluate individual member care needs and communicate medical information to health care professionals • Manage a caseload of members to ensure expedient contact is made with each member • Facilitate coordination of care with providers and schedule appointments as needed • Motivate members to be active and engaged participants in their health and overall well-being • Identify and help address needs related to Social Determinants of Health • Coordinate and complete correspondence according to established workflows • Thoroughly and accurately document actions taken in a care management platform • Make a high volume of outreaches to members, families, providers, or other recipients as needed to successfully perform the role

🎯 Requirements

• Licensed Practical Nurse (LPN) or Registered Nurse (RN) (license must be valid, unrestricted, and multi-state compact) • Must be fluent in Spanish and English • 2+ years experience as a care coordinator, case manager, community health worker, pharmacy technician, or social worker • Must be located in the Central Time Zone (CST) • Dedicated home office for remote work • 1+ years of remote work experience • Experience working with Medicaid and/or Dual Eligible patients • Strong interpersonal, communication (both verbal and written), and problem-solving skills • Experience with discharge planning • Experience working with customers over the phone and by text message • Experience with Apple computers (i.e., MacBook) preferred • Experience documenting case notes in a care management or electronic health record platform • Experience with motivational interviewing

🏖️ Benefits

• Competitive compensation packages • 401(k) with employer matching • Medical, dental, and vision insurance, including a 100% employer-paid option • Paid time off, paid sick time off, and paid holidays • Remote work • Comprehensive training and development • 100% employer-paid short-term disability, long-term disability, and basic life insurance • Health Savings Plan with employer contributions • Employee assistance program (EAP)