Registered Nurse Case Manager - Bilingual Spanish
Core
Lead care management activities and care coordination for complex patients in a value-based care environment to prevent avoidable admissions and ensure care continuity.
Role type
Senior Registered Nurse Case Manager
Builds
Care plans and transitions of care for complex patients
Domain
Healthcare / Value-based care
Required skills
Nursing license, Case management certification, Patient education, Care coordination, Clinical assessments, Medication reconciliation, Interdisciplinary collaboration, Documentation
Preferred skills
Transitional nursing experience, Emergency room nursing, Home health experience, Motivational interviewing, Community resource navigation
Technologies
Electronic health record
Responsibilities
Manage assigned caseload of complex patients, Accountable for panel metric performance, Own overall care coordination, Manage transitions of care episodes, Collaborate with PCP and care team, Perform nursing assessments and patient education, Lead interdisciplinary care planning meetings, Document visits in electronic health record
Seniority
Senior, hands-on IC