Bilingual Spanish, RN Care Manager

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $92k - $105k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💬 Bilingual

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Clover Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Clover Health (Nasdaq: CLOV) is a physician enablement company focused on seniors who have historically lacked access to affordable, high-quality healthcareWe aim to provide great care, in a sustainable way, by having a business model built around improving medical outcomes while lowering avoidable costs. We do this while taking a holistic approach to understanding the health needs and social risk factors of those under our care. This strategy is underpinned by our proprietary software platform, the Clover Assistant, which is designed to aggregate patient data from across the health ecosystem to support clinical decision-making by presenting physicians and other providers with real-time, personalized recommendations at the point of care.Making care more accessible is at the heart of our business, and we believe patients should have the freedom to choose their doctors. We offer affordable Medicare Advantage plans with extensive benefits, provide primary care physicians with the Clover Assistant, and also make comprehensive home-based care available via the Clover Home Care program.With our corporate headquarters in Nashville, Clover’s workforce is distributed around the U.S. and also includes a team of world-class technologists based in Hong Kong. We manage care for Medicare Advantage members in Alabama, Arizona, Georgia, Mississippi, New Jersey, Pennsylvania, South Carolina, Tennessee, and Texas.We are hiring software engineers, data scientists, designers and product folks who can help us understand our members’ wellness and steer them clear of any health risks down the road.If you’re a passionate person and interested in changing healthcare for the better, then Clover Health may just be the place for you.

📋 Description

• Engage and provide telephonic care coordination and management to identified patient populations • Collaborate with members of Clover clinical teams • Initiate referrals to specialty services and foster continuity of care • Create personalized care plans for each member • Document all member care activities and escalate findings • Coordinate with the interdisciplinary team and outpatient providers • Provide telephonic teaching and counseling in health promotion and disease management • Attend regular ongoing meetings • Demonstrate flexibility in assignments within Clover’s Clinical Programs • Advocate for members to ensure needs and choices are represented • Participate in ongoing professional development

🎯 Requirements

• At least 3 years of post-licensure care management experience • Bachelor’s degree (BSN) or higher from an accredited school of nursing • Current valid RN multi-state license • Fluency in English and Spanish, both orally and in writing • Case Management certification or completion of CCM certification within 1 year of employment (preferred) • Experience in completion of assessment, care plans, care coordination, and issue resolution • Knowledgeable about healthcare reimbursement, utilization management, discharge planning, and disease management • Experience in geriatrics and chronic illness management • Basic knowledge of Medicare and Medicare Advantage Plans • Comfortable with documenting electronic medical records and utilizing electronic data and reports • Intermediate level computer skills on Mac and PC platforms

🏖️ Benefits

• Health insurance • 401k matching • Performance-based bonuses • Comprehensive medical, dental, and vision coverage • 18 days of vacation per year • 10 federal holidays plus 5 additional paid holidays • Paid parental leave • Reimbursement for office setup expenses • Employee Stock Purchase Plan (ESPP)