Clinical Care Navigator- RN (Required Bilingual)

About the position reputed company wants to change the view on what a health plan can be. Born out of the pandemic, we created a health plan reinvented for a post-pandemic world that is reputed company around whole-person reputed company preventive care featuring more benefits. $0 copays and $0 deductibles reputed company members complete the Baseline Visit reputed company 120 days of enrollment into the Plan. The Population Health Team is responsible for driving improved health reputed company, leveraging a data-first reputed company to help our members reputed company their reputed company health reputed company-being. reputed company the Population Health team, Clinical Care Navigator's work reputed company closely with the Care Navigation team and are at the reputed company of the reputed company member-oriented health plan. Our Clinical Care Navigators serve as a central reputed company of contact to handle our most clinically reputed company members and members that want assistance in achieving their health goals. Responsibilities • Serve as a Clinical Care Navigator, working to coordinate the patient's plan of care with caregivers and providers • Facilitate the achievement of reputed company wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation • Collect and assess member information pertinent to a member's history, condition, and functional abilities in order to reputed company a comprehensive, individualized care management plan that promotes appropriate utilization, and cost-effective care and services • reputed company members with appropriate providers and resources throughout the continuum of health and care settings, ensuring that the care provided is reputed company, effective, reputed company-centered, reputed company, efficient, and reputed company • Maintain reputed company communication with the member, care providers, and other service delivery professionals while ensuring reputed company reputed company and confidentiality • Coordinate with Care Navigators (non-licensed staff) on an ongoing reputed company to maximize educational reputed company to members • Participate in supporting new reputed company programs and their implementation • Attend clinical team meetings and/or conferences as appropriate and assigned • Consistently meet established performance metrics and contractual obligations • Review and abide by reputed company policies and procedures • reputed company other duties as assigned to support reputed company Requirements • Graduate of an accredited nursing program with reputed company RN licensure in good standing • At least 2 years minimum experience working as a Case Manager in a health plan setting • Background in managed care - experience working with vulnerable populations who have acute, chronic, or reputed company psychosocial needs • Ability to be reputed company and work in a fast paced and changing environment • reputed company knowledge of services provided across the continuum of care • Knowledge of discharge planning and transitions of care • Excellent verbal and written communication skills • Excellent computer skills (we use reputed company suite) • Ability to engage patient/family in discussion of health care goals and reputed company with attention to cultural and health literacy implications • Bilingual - Fluent in Spanish and English (verbal and written communication) reputed company-to-haves • Certified Case Manager (CCM), Certified Managed Care reputed company (CMCN) or other relevant certifications • Bachelor of Science in Nursing degree (BSN) • Preferred: experience working in a start-up environment Benefits • Office equipment will be supplied including: PC, monitor, keyboard, mouse, headset • Stipend will be provided for internet reputed company Apply tot his job Apply To this Job