Bi-Lingual Nurse Advocate - Charlotte area

Synergy-Healthcare-USA-LL; Charlotte (NC); Remote; USD 70,000 - 100,000; Full time

Benefits offered by this job

PTO

Paid holidays

Shorter Fridays

Job summary

Synergy-Healthcare-USA-LL seeks an experienced, bilingual Spanish Nurse Case Manager to advocate for members and guide them through the healthcare and insurance landscape. The role supports remote work with occasional travel to client sites in NC/SC, helping members understand options and access care.

The ideal candidate has a BSN, 3+ years in case management, CCM certification or eligibility, and strong communication skills to collaborate with providers, employers, and insurers.

Qualifications

• Active nursing license with a BSN preferred.
• Minimum 3 years as a nurse case manager or in healthcare.
• CCM certification or eligibility; commit to CCM exam within 1 year.

Responsibilities

• Serve as primary contact for members navigating healthcare systems.
• Identify member healthcare needs and provide clinical support.
• Coordinate with TPAs and insurers to resolve claims and billing issues.

Skills

Bilingual Spanish

Analytical skills

EHR proficiency

Outlook/Excel

Education

BSN degree

Tools

EHR systems

Microsoft Office

Job description

Location: Charlotte, NC

Job Id:298

# of Openings:1

Job Summary

We are seeking an experienced, bi-lingual (Spanish) Nurse Case Manager to join our growing team and serve as an Advocate to help our new clients and their employees. The ideal candidate will be located in the greater Charlotte area, with the ability to travel on occasion to visit clients in NC/SC. He/she must have a thorough understanding of the healthcare system, and will be responsible for providing guidance and support to members in navigating the complex healthcare/insurance landscape.

As a dedicated Nurse Advocate, you will be responsible for resolving a myriad of issues for their members and allowing you the flexibility to “think outside the box”. With your clinical experience and background, you will help members better understand their health status and available treatment options. You will have a unique opportunity and have time to develop valued relationships with members and executive teams with your specific employer clients.

This opportunity allows for remote work so can be flexible on location. Minimal travel within the States of NC/SC for periodic client visits (open enrollment meeting, annual activity reviews etc) may be required. Most if not all work will be done virtually out of the convenience of your own home office.

The key to your success will rely on your ability to cultivate trusted relationships with stakeholders, members, and their families. Our growing Synergy team is passionate about delivering an exceptional healthcare experience that is personal, data driven, and value based to help every person live their healthiest life.

Key Responsibilities

• Serve as the primary point of contact for members seeking assistance with navigating the healthcare system.


• Work with members to identify their healthcare needs and provide clinical support.


• Liaison with TPAs and insurance companies to resolve claim and billing issues.


• Educate members on their healthcare benefits and how to effectively utilize them.


• Advocate for members so they can receive improved healthcare outcomes, including referrals to specialists and timely access to care.


• Collaborate with other healthcare professionals, including physicians and nurses to ensure seamless coordination of care.


• Monitor member health status and progress towards achieving their healthcare goals.


• Maintain accurate and up-to-date records of member interactions and healthcare interventions.


• Client facing reporting with the potential for limited travel to client worksites.


• Health Risk Assessment review to encourage lifestyle modification and improve overall wellness.

Qualifications

• Active nursing license with a Bachelor of Science in Nursing (BSN) degree preferred.


• Minimum of 3 years of experience as a nurse case manager or in a related healthcare field.


• CCM certification or CCM eligible. Commit to CCM exam within the first year.


• In-depth knowledge of the healthcare and insurance systems.


• Strong analytical and problem-solving skills with the ability to identify and resolve complex healthcare issues.


• Effective bi-lingual (Spanish) communication and interpersonal skills with the ability to interact effectively with employees and healthcare professionals.


• Ability to work remotely, independently, and as part of a team in a fast-paced, dynamic environment.


• Strong organizational skills with the ability to manage multiple tasks and priorities simultaneously.


• Proficient in the use of electronic health records (EHRs), Outlook, Excel, and other healthcare-related software.

This is a full time, benefits eligible, salaried position. In addition to competitive pay, PTO, and paid holidays, Synergy also offers a schedule that includes shorter days of Fridays.