Bilingual Spanish RN, Care Management (Riverside)
Core
Clinically accountable Registered Nurse delivering high-touch, person-centered care management to members 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 older adults with complex medical, social, and functional needs.
Domain
Healthcare / Senior Care / Medicare Advantage
Required skills
Clinical assessment, care plan development, interdisciplinary collaboration, disease education, medication reconciliation, care coordination, regulatory compliance, critical thinking, documentation
Preferred skills
Leadership, strategic planning, problem solving, community resource knowledge, AI curiosity
Technologies
Electronic health records, care management systems
Responsibilities
Conduct comprehensive clinical, functional, and environmental assessments in homes and via telephonic encounters; Develop, implement, and update individualized care plans; Provide disease-specific education and self-management support; Coordinate care with primary care providers, specialists, hospitals, and community resources; Manage transitions of care following hospitalizations or discharges; Perform nursing-related California Integrated Care Management (CICM) activities for specific populations of focus.
Seniority
Senior, hands-on IC