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RN Case Manager- Spanish Bilingual

Remote, USA Full-time Posted 2025-11-03
JOB DESCRIPTION Job Title: Remote RN Case Manager-Bilingual in Spanish Duration: 6 Months (Extension Possible) Pay Rate: $48/hr (W2) Location: 100% Remote (Open to all U.S. time zones; CST preferred for 1–2 candidates) Work Authorization: Must be a U.S. Citizen Job Overview: We are seeking a skilled Remote RN Case Manager to join our team on a 6-month contract, with potential for extension. This role is focused on ensuring that members with complex medical or psychosocial needs receive high-quality, cost-effective care. The RN Case Manager will perform holistic assessments and collaborate with internal and external stakeholders to develop and implement individualized care plans. Key Responsibilities: • Conduct telephonic interviews using motivational interviewing techniques • Collaborate with case management team, physicians, and interdepartmental staff • Educate members using approved tools to support care plan adherence • Collect and evaluate medical data to identify unmet needs • Create and monitor individualized care plans • Coordinate with providers, home health, and community resources • Participate in interdisciplinary team meetings and quality initiatives • Maintain accurate documentation and adhere to regulatory guidelines • Remain informed about benefit design, cost analysis, and community resources • Promote collaboration with external payers, agencies, and partners • Participate in internal training and continuing education Required Qualifications: • RN License with Bachelor’s degree in Nursing (or equivalent RN certification) • Minimum 3 years of experience in Acute or Managed Care (Medicaid/Medicare populations preferred) • 3–5 years of experience in Acute Care/Managed Care settings • Telephonic case management experience Preferred Qualifications: • Bilingual in English/Spanish • Case Management Certification (CCM or similar) Additional Details: • 100% remote role • Must be willing to complete the Care Manager Assessment via Glider • Must be a U.S. Citizen • Candidates across all U.S. time zones are welcome to apply Apply tot his job

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