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 effective team-based care.
Role type
Senior Registered Nurse Case Manager
Builds
Care plans and transitions of care episodes for assigned patient panels
Domain
Healthcare / Primary Care / Medicare
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Care coordination, admission prevention, readmission prevention, medication reconciliation, structured clinical assessments, patient education, chronic condition management, electronic health record documentation, interdisciplinary collaboration, motivational interviewing, community resource navigation
Preferred skills
Transitional nursing, emergency room nursing, discharge planning, home health experience
Technologies
Electronic health record systems
Responsibilities
Manage assigned caseload of complex patients, own overall care coordination as primary point of contact, lead in-person interdisciplinary care planning meetings, perform timely nursing assessments, educate patients and families on care plans, document visits in electronic health record
Seniority
Senior, hands-on IC