Nurse Case Manager (Bilingual Spanish/English)

Nurse Case Manager (Bilingual Spanish / English)

I. Summary of Position :

The Nurse Case Manager coordinates resources and creates flexible, cost-effective options for catastrophically or chronically ill or injured individuals to facilitate quality, individualized, holistic treatment goals, including timely return to work when appropriate. Fluency in both Spanish and English is required to effectively communicate with Spanish-speaking patients, providers, and stakeholders.

II. Essential Duties and Responsibilities :

• Provide medical case management to individuals through coordination with the patient, physicians, other health care providers, the employer, and the referral source, in both Spanish and English.
• Utilize the steps of Case Management to provide assessment, planning, implementation, evaluation, and outcome of an individual's progress.
• Evaluate individual treatment plans for appropriateness, medical necessity, and cost-effectiveness.
• Facilitate care, such as negotiating and coordinating the delivery of durable medical equipment and home health services, ensuring clear communication in both languages.
• Assess rehabilitation facilities for appropriateness of care, facilitate transportation, and coordinate architectural assessments of patients' homes when required.
• Communicate medical information clearly and compassionately to Spanish-speaking patients and families.
• Stay current with medical terminology and the federal and state laws related to health care, Workers' Compensation, ADA, HIPAA, FMLA, STD, LTD, SSDI, and SSA.
• Utilize technology (computer, cell phone, fax, and scanning machine) to prepare organized, timely reports while complying with safety rules and regulations in conjunction with HIPAA.
• Research medical and community resources for individuals with catastrophic or chronic diagnoses, such as but not limited to AIDS, cancer, spinal cord injuries, diabetes, head injuries, back injuries, hand injuries, and burns, ensuring accessibility for Spanish-speaking individuals.
• Possess a valid driver's license with the ability to travel 90% of the time.
• Perform other duties as assigned.

III. Job Qualifications :

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Skills and Abilities :

Education and Experience :

Certificates, Licenses, Registrations :

While not mandatory, individuals with one or a combination of the following certifications are preferred : COHN, COHN-S, and CDMS.

IV. Physical Demands :

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The base pay range for this role is $82,000.00 to $90,000.00.

The base salary range / hourly rate listed is dependent on job-related, non-discriminatory factors such as experience, education, and skills. This position is also eligible for incentive compensation awards.

You may be eligible for the following competitive benefits : medical, dental, vision, life, accident & disability, short and long-term disability, paid holidays, paid time off and 401 (k).

Compensation details : 82000-90000

PIa332907b47a7-30511-36505255

Salary : $82,000 - $90,000