Remote Spanish Bilingual Complex Care RN ( Must reside in South Bay, CA area)
Core
Clinical quarterback for high-risk Medicare Advantage seniors, coordinating proactive, member-centered care in a virtual environment.
Role type
Senior Registered Nurse (Complex Care)
Builds
Coordinated care plans and transitions for medically complex, high-risk populations
Domain
Healthcare / Senior Care / Medicare Advantage
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medically complex patient management, chronic disease management, medication reconciliation, care transition coordination, HEDIS/care gap management, telehealth/virtual care coordination, interdisciplinary team collaboration
Preferred skills
BSN degree, Certified Case Manager (CCM) certification, multi-state RN licensure, experience with Athena EMR and TalkDesk
Technologies
Athena EMR, TalkDesk
Responsibilities
Manage and coordinate care for medically complex Medicare Advantage members; Build trusted relationships with members and caregivers through virtual engagement; Lead transitions of care following hospital, SNF, and inpatient discharges; Complete medication reconciliations and monitor changes in clinical status; Identify and escalate clinical concerns to appropriate providers; Partner with multidisciplinary teams to ensure seamless, coordinated care
Seniority
Senior, hands-on IC
