Bilingual Registered Nurse Care Manager (Remote, Full Time)
at Pair Team
About Pair Team
Pair Team is on a mission to improve the wellbeing of underserved communities through increased access to high-quality care.
We are the first tech-enabled care team that empowers safety-net primary care systems and the Medicaid & Medicare patients they serve. We act as an extension of the clinical staff to provide a personalized, high-touch care experience while addressing patients' barriers to care such as lack of transportation, housing/food insecurity, and mobile phone access. Internally, we are building a unique care delivery platform to ensure clinical best practices, integrate care with community-based organizations, and automate administrative work so that we can focus on time with our patients.
With both federal and state government alignment, community health centers are ready to move into value-based care and we are tackling the core staffing and access challenges to meet the needs of our communities.
- Trust: We consistently strive to earn the trust of our patients, our clinic partners, and our teammates.
- Growth: We grow together – as a company and as individuals.
- Accountability: We act like owners and take pride in our work.
- Act beyond yourself: Our vision and impact goes beyond ourselves and so must our actions.
About the Opportunity
Pair Team is building a team of deeply passionate individuals ready to change primary care operations for those who need it most. We are looking for a highly motivated full-time Registered Nurse Care Manager who is willing to think creatively and empathically to help our team change the way people access healthcare.
We are excited to partner with Federally Qualified, Non-Profit Health Centers in California’s San Bernardino county to enable their participation in CalAIM’s new Enhanced Care Management (ECM) Medi-Cal benefit program, which provides long-term, whole-person care coordination, inclusive of behavioral health and social needs supports.
We seek a full-time Registered Nurse Care Manager to play a critical role in our whole-person, interdisciplinary care model, responsible for supporting patient-driven care plans to drive improved outcomes for individuals living with Serious Mental Illness, Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs. The Registered Nurse Care Manager will work in a team-based model with a lead care manager/care coordinator, community health worker, behavioral health care manager, and nurse practitioner to contribute their clinical expertise towards improving the individuals quality of life through activities such as health education and complex care management.
- 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
- Must hold active Registered Nurse license issued by the state of California
- 10-15 years of experience working for a health plan or at-risk provider
- Previous experience in care management
- Must have quiet and HIPAA-compliant at-home work environment with reliable Internet connection and cell phone
- Strong understanding of cultural fluency
- Bilingual – English/Spanish
- Demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder
- Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic Google suite, email, and video conferencing
- A fantastic listener and skilled at “reading people” - able to understand how others may be feeling or thinking based on nuances, uncomfortable silences, or questions they ask
- Excellent communication skills
- Takes accountability to resolve a patient’s needs to the best of his/her/their abilities
- Comfortable building relationships with new people
- Zest for problem solving, seeking answers, and thinking outside the box
- Detail-oriented and organized self-starter
- Reliable and comfortable in an ever-changing environment
Because We Value You:
- Comprehensive health, vision & dental insurance
- Opportunity for rapid career progression with plenty of room for personal growth!
- Equity compensation package
- Monthly work from home expense stipend
- Flexible vacation policy with unlimited time off
- Work from the comfort of your own home
Pair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law.