Bilingual Customer Service Representative offering quality assistance to clients at Securian Canada. Engaging in client service and managing inquiries, ensuring satisfaction with services provided.
About the role
- Registered Nurse Care Manager supporting individuals living with Serious Mental Illness and Substance Use Disorder. Engaging in care management and health coordination responsibilities primarily from home, with occasional community visits.
Responsibilities
- Primarily work with and support a caseload of individuals with complex medical needs
- Work with individual to identify health/wellness goals and incorporate goals into a Shared Care Plan
- Educate individuals on medical and behavioral health conditions (including medication) to improve health literacy
- Provide medication reconciliation in collaboration with the individuals’s pharmacy
- Provide care management services such as coordinating prescriptions and completing prior authorizations
- Track and assure that all required assessments and screenings are performed
- Collaborate with multidisciplinary care team to identify and address barriers to care
- Identify clinical needs and triage escalations, providing brief interventions as necessary, with support from nurse practitioner clinicians
- Collaborate on care issues with Enhanced Care Management team by participating in systematic case reviews
- Consult with Enhanced Care Management team about clinical concerns or questions, provide educational training on chronic disease states, prevention, treatment, meds, and healthy living
- Build trust and develop relationships with individuals experiencing homelessness, living with Severe Mental Illness/Substance Use Disorder, and living with multiple chronic conditions
- Use relationship-based strategies to engage individuals in care, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
- Seeks to listen openly to individuals and meets them where they are – understanding that adopting an “it’s not my fault but it is my problem” attitude in all communication styles and approaches
Requirements
- Must hold active Registered Nurse license issued by the state of California
- Located in California (Preferred)
- Previous experience in care coordination or case management
- 2-3+ years of experience working for a health plan or at-risk provider
- Bilingual – English/Spanish
- Strong technical skills and comfort with new technology innovation, past experience with CRM databases, basic Google suite, email, and video conferencing
- Must have quiet and HIPAA-compliant at-home work environment with reliable Internet connection and cell phone
- Strong understanding of cultural fluency
- Demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder
- Empathetic with a drive to reduce barriers to healthcare and social services for underserved communities
Benefits
- Comprehensive health, vision & dental insurance
- 401k
- Opportunity for rapid career progression with plenty of room for personal growth!
- Monthly $100 work from home expense stipend
- Flexible vacation policy with unlimited time off
- Work entirely from the comfort of your own home - no office
- We provide the equipment needed for the role
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