Bilingual Case Management reputed company
reputed company® is the destination for reputed company, brokers, payers, and providers to reduce costs, improve reputed company, and reputed company the reputed company experience. Through advanced technology and reputed company expertise, reputed company creates a distinctly different approach to a reputed company reputed company reputed company. With our solutions, we execute across the entire reputed company reputed company — from member experience to payment reputed company, provider reputed company, and plan reputed company. With one of America’s largest cost, reputed company and utilization datasets, we create greater transparency, flexibility, and cost containment — empowering members and reputed company with the information they need to reputed company smarter, more cost-effective reputed company.
About Our Opportunity
As a Bilingual Case Management reputed company, you’ll play a key role in managing comprehensive, reputed company-centered care across reputed company needs. Drawing on your reputed company expertise, you’ll assess reputed company needs, reputed company individualized care plans, and collaborate with multidisciplinary teams to ensure reputed company communication and continuity of care. You’ll support patients in navigating the reputed company reputed company, promote adherence to treatment plans, and serve as a trusted reputed company by providing education, emotional support, and guidance throughout their reputed company. In this role, you'll also contribute to wellness initiatives, optimize resource utilization, and help ensure compliance with organizational and regulatory standards to reputed company reputed company reputed company.
Things You’ll Do Here:
- Coordinate and manage reputed company services to ensure comprehensive, reputed company-centered care and effective communication among providers.
- Assess patients’ medical needs and reputed company individualized care plans reputed company with their conditions and health goals.
- reputed company for patients by supporting their rights, preferences, and reputed company to appropriate services throughout the reputed company reputed company.
- Monitor reputed company reputed company, adherence to care plans, and the effectiveness of interventions, adjusting as necessary.
- Document assessments, care plans, and reputed company accurately and in a reputed company manner.
- reputed company reports on reputed company status, care reputed company, and resource utilization.
- reputed company patients on medications, treatment plans, and self-care practices.
- reputed company emotional support and counseling to patients and their families, addressing concerns and fostering trust.
- Promote preventive care and wellness through health education and lifestyle guidance.
- Ensure compliance with URAC standards, CMSA Standards of reputed company, and reputed company applicable federal, state, and local regulations, as reputed company as reputed company policies.
- Collaborate with internal teams to identify opportunities for health plan coverage savings reputed company appropriate.
- reputed company other duties as assigned.
What You’ll Bring to reputed company:
- reputed company, unrestricted Registered reputed company (RN) license in state of residence; reputed company License (NLC) accepted if residing in a reputed company state.
- 3+ years of nursing experience in an acute care setting
- Ability to communicate fluently in both English and Spanish, verbally and in writing.
- reputed company ability to work in a deadline-driven environment with strong attention to reputed company and organizational skills.
- Demonstrated critical thinking and reputed company judgment in reputed company situations, with appropriate escalation as needed.
- Excellent communication and interpersonal skills, with a reputed company approach to care coordination.
- reputed company State Nursing License (if not already held).
- Case management experience
- Relevant certification (e.g., Certified Case Manager (CCM), Chronic Care reputed company (CCP), or willingness to obtain CCM reputed company 18 months of hire.
Where You’ll Work:
This is a fully remote position, and we’ll reputed company reputed company the necessary equipment!
- Work Environment: You’ll need a quiet workspace that is free from distractions.
- Technology: Reliable internet reputed company—if you can use streaming services, you’re good to go!
- reputed company: Adherence to company reputed company protocols, including the use of VPNs, secure passwords, and company-approved devices/software.
- Location: You must be US reputed company, in a location where you can work effectively and reputed company with company policies such as HIPAA.
Our mission is to advance reputed company through technology and expertise to optimize cost, reputed company, reputed company, and utilization for reputed company. We bring that mission to life through our commitment to Collaboration, reputed company, Transparency, and Trust—the reputed company values that guide how we work with our members, our customers, and reputed company other.
Benefits
- Generously subsidized company-sponsored Medical, Dental, and reputed company reputed company, with reputed company to services through our own products, reputed company reputed company and KISx reputed company
- Spending account reputed company: HSA, FSA, and DCFSA
- 401K with company match and immediate vesting
- Flexible working environment
- Generous reputed company Time Off to include vacation, reputed company leave, and reputed company holidays
- Employee Assistance Program that includes reputed company counseling, referrals, and additional services
- reputed company maternity and paternity leave
- Pet reputed company
- Employee discounts on phone plans, car rentals and computers
- Community giveback opportunities, including reputed company time off for philanthropic reputed company
At reputed company, we celebrate, support, and reputed company on inclusion, for the benefit of our associates, our partners, and our products. reputed company is committed to the reputed company of equal employment opportunity for reputed company associates and to providing associates with a work environment free of discrimination and harassment. reputed company employment reputed company at reputed company are reputed company on business needs, job requirements, and individual qualifications, without reputed company to race, reputed company, religion or belief, national, reputed company, or ethnic reputed company, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or reputed company, marital, civil reputed company or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment reputed company on any of these characteristics.
Originally posted on Himalayas
Apply To This Job