Bilingual Spanish RN, Care Management (Los Angeles)

Position Overview Registered Nurse (RN) – Care Management. A clinically accountable role delivering high‑touch, person‑centered care management to members with complex medical needs who cannot be effectively supported through telephonic care management alone. Location & Travel Hybrid – remote and in‑field in LosAngeles, CA and surrounding areas. 50+% travel with valid driver’s license, automobile insurance, and reliable transportation. Responsibilities Conduct comprehensive clinical, functional, and environmental assessments in members’ homes and via telephonic encounters. Identify clinical, functional, medication, caregiver, and environmental risks to member stability or safety. Collaborate with social workers, community health workers, care coordinators, and other interdisciplinary team members to address barriers to health. Participate in case reviews, huddles, and interdisciplinary discussions to support coordinated, member‑centered care. Develop, implement, and regularly update individualized care plans with measurable goals focused on member priorities and health outcomes. Integrate clinical insights and community standards into comprehensive and effective care strategies. Provide disease‑specific education, coaching, and self‑management support to members and families, using teach‑back to confirm understanding. Support medication safety through medication reconciliation, adherence assessment, and coordination with providers and pharmacy resources. Coordinate care with primary care providers, specialists, hospitals, skilled nursing facilities, home health, and community resources to ensure continuity of care. Document care activities promptly and accurately across multiple computer systems, including care plans, service plans, and progress notes. Manage transitions of care following ED visits, hospitalizations, or facility discharges. Comply with all regulatory and quality agency standards (CMS, DHC, DHCS). Qualifications Bachelor’s degree in nursing (BSN) required. California Registered Nurse (RN) license required. 3+ years of clinical experience in care management, case management, home health, community‑based care, or a related clinical setting. 2+ years working with seniors and hybrid remote care preferred. Experience with high‑risk, complex, or chronically ill populations preferred. Graduate or advanced degree or equivalent experience preferred. Certified Case Manager (CCM) certification strongly preferred. Bilingual in English and Spanish required; proficiency test may be administered. Skills & Competencies Leadership and ability to develop others. Critical‑thinking, problem solving, and decision‑making skills. Strategic mindset with ability to formulate strategy and map steps to achieve goals. Excellent written and verbal communication. Strong organizational skills and ability to multitask. Ability to maintain confidentiality. General understanding of NCQA standards, CMS and DHCS regulations. Knowledge of medical terminology, abbreviations, and local community resources for seniors. Compensation & Benefits Base salary range: $44.42 to $61.20 per hour. Hybrid work mode. Annual employee bonus program. Robust wellness program. Generous paid‑time‑off (PTO), 11 paid holidays per year plus floating and birthday holidays. 401(k) retirement savings plan with employer match. Tuition reimbursement. Drug Testing Requirement Proof of a recent negative tuberculosis screening is required upon hire. If a disability or sincerely held religious belief prevents providing the test, accommodations will be considered. EEO Statement SCAN is an Equal Employment Opportunity and affirmative action workplace. Employment is considered without regard to race, color, national origin, religion, age, sex, marital status, disability, veteran status or any status protected by law. A background check is required. #J-18808-Ljbffr SHPCA SCAN Health Plan