Registered Nurse Case Manager - Bilingual Spanish

divh2RN, Case Manager/h2pWere building a world of health around every individual shaping a more connected, convenient and compassionate health experience. At CVS Health, youll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger helping to simplify health care one person, one family and one community at a time./ppLocation: Simpson, 1024 Westchester Ave, Bronx, NY 10459; Jackson Heights, 97-01 Northern Blvd, Flushing, NY 11368; Subject to adjustment based on clinic needs./ppRole Description: In partnership with the primary care provider, (PCP), the RN, Case Manager is the lead for care management activities, drives care coordination and collaborates with interdisciplinary teams to ensure care continuity for complex patients. This role focuses on preventing avoidable admissions, driving efficient resource utilization, and ensuring effective team-based care. It is a field-based, in-person/on-site role, requiring strong relationships between patients, providers and care team members./ppCore Responsibilities:/pulliManages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization./liliAccountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics./liliOwns overall care coordination for assigned patients, functioning as the primary point of contact and ensuring alignment, accountability, and follow-through across the care team./liliManage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or via collaboration with other team members./liliCollaborates patients PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individuals needs, goals, and plan of action and ensure care plan progression./liliEnsure timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings./liliLead in-person interdisciplinary care planning meetings to ensure effective care coordination and management between providers visits./liliPerform timely nursing assessments and provide patient education for chronic condition management and transitions of care./liliEducate patients and families, empowering them in their care, and advocating for their needs./liliDocument visits in electronic health record according to internal standards/liliOther duties as assigned./li/ulpWhat are we looking for?/pulliFluency in Spanish or other languages spoken by people in the communities we serve, required/liliCurrent RN license in assigned state is required; Bachelor degree in nursing preferred./liliMinimum of 6-8 years nursing experience./liliCertified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience/lili2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred./liliDemonstrated skill in motivational interviewing, patient activation, time management, and navigating community and social resources./liliA flexible and positive attitude/liliComfort with ambiguity and change/liliHigh emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution./liliAccess to reliable transportation and ability to travel throughout the communities OSH serves/liliUS work authorization/liliSomeone who embodies being Oaky/li/ulpWhat does being Oaky look like?/pulliRadiating positive energy/liliAssuming good intentions/liliCreating an unmatched patient experience/liliDriving clinical excellence/liliTaking ownership and delivering results/liliBeing relentlessly determined/li/ulpWhy Oak Street Health?/ppOak Street Health is on a mission to rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient communities, and focused on the quality of care over volume of services. We are an organization on the move! With over 200+ locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oaky values and passion for our mission./ppAnticipated Weekly Hours: 40/ppTime Type: Full time/ppPay Range: The typical pay range for this role is: $72,627.00 - $155,538.00/ppThis pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above./ppGreat benefits for great people/ppWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families./ppThis full?time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well?being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility./ppAdditional details about available benefits are provided during the application process and on Benefits Moments./p/div