Bilingual Case Manager, Transitions of Care

Devoted Health

Devoted Health

Multiple locations
Posted on Jul 30, 2024

At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!

Job Description

A bit about this role:

You'll be responsible for providing telephonic case management support to our members newly discharged from the hospital for a thirty-day program. You'll serve as an advocate for these members, coordinating care and ensuring they have the necessary resources and support to achieve better health outcomes and preventing readmissions.

Responsibilities will include:

Working with members

  • Engaging with our newly discharged members telephonically to understand their needs, supported by technology and data tools.

  • Conducting holistic assessments to identify comorbid conditions, ED/hospitalization history, medications, psychosocial factors, and member values and preferences.

  • Developing care plans in partnership with members and their caregivers - problems, goals, interventions - while continuously evaluating the member’s progress.

  • Explaining complicated medical terms in plain language.

  • Educating members on their chronic conditions including teaching “red flags,” developing plans during an exacerbation, and identifying barriers to important care elements such as medication adherence.

  • Hearing the red flags and providing active care management to close the gaps.

Working with other providers and resources

  • Referring members to Devoted Medical when applicable and working closely on partnering for member care.

  • Working closely with Devoted Community Guides (locally-based social workers) to identify community-based organizations to support our members in meeting their goals.

  • Coordinating post-treatment care and DME needs.

  • Collaborating closely with our PCP partners, to coordinate care and deliver evidence based, effective, and accessible health care.

Attributes to success:

  • Alignment with Devoted Health’s mission and values

  • You enjoy being on the phone caring for patients.

  • Strong clinical skills that will help you understand what a patient needs to help them avoid poor health outcomes.

  • The ability to adjust your tone and approach to different people in order to build trust and achieve positive outcomes.

  • The ability to articulate and break down complex information

  • Ability to work on an interdisciplinary team

  • You are comfortable working with technology and rapid change

  • Comfortable with ambiguity this is not a box checking role

  • This role will be required to work business hours in the CST (central standard timezone)

Required skills and experience:

  • An unrestricted compact RN license obtained in the United States with the ability to secure other licensure states.

  • A minimum of 4 years of RN experience case management and / or home health

  • Bilingual in English and Creole or Spanish

Desired skills and experience:

  • Health insurance experience, particularly Medicare Advantage.

  • Telephonic experience

  • Hospital / Acute care experience

Salary Range: $77,457 - $103,000

Our ranges are purposefully broad to allow for growth within the role over time. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Our Total Rewards package includes:

  • Employer sponsored health, dental and vision plan with low or no premium

  • Generous paid time off

  • $100 monthly mobile or internet stipend

  • Stock options for all employees

  • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles

  • Parental leave program

  • 401K program

  • And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce.

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.