Bilingual Spanish RN, Care Management (Riverside)
Core
Clinically accountable Registered Nurse delivering high-touch, person-centered care management to older adults with complex medical needs via in-home and telephonic assessments.
Role type
Senior IC Registered Nurse (Care Management)
Builds
Individualized care plans and coordinated care strategies for high-risk senior populations
Domain
Healthcare / Senior Care / Medicare Advantage
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical assessment, care plan development, disease education, medication reconciliation, care coordination, regulatory compliance, risk mitigation
Preferred skills
Leadership, strategic planning, critical thinking, community resource navigation
Technologies
Electronic health records, care management systems
Responsibilities
Conduct comprehensive clinical, functional, and environmental assessments in homes and via phone; Develop and update individualized care plans with measurable goals; Provide disease-specific education and self-management support to members and families; Coordinate care transitions following hospitalizations or facility discharges; Collaborate with interdisciplinary teams including social workers and community health workers; Manage care for specific populations including those experiencing homelessness, with dementia, or serious mental illness
Seniority
Senior, hands-on IC