Bilingual Spanish RN, Care Management (Los Angeles)

SHPCA SCAN Health Plan; California (MO); Hybrid; USD 61,192 - 84,309; Full time

Benefits offered by this job

Annual employee bonus program

Robust wellness program

Generous paid-time-off (PTO)

401(k) retirement savings plan with employer match

Tuition reimbursement

Job summary

SHPCA SCAN Health Plan is seeking a Registered Nurse (RN) for a hybrid care management role in California. This position focuses on delivering high-touch, personalized care to members with complex medical needs through in-home visits and telephone support.

The ideal candidate will hold a BSN, be licensed as an RN in California, and possess 3+ years of clinical experience. Competitive compensation includes a salary range of $44.42 to $61.20 per hour and various benefits including PTO and a 401(k) plan.

Qualifications

• 3+ years of clinical experience in care management.
• 2+ years working with seniors and hybrid remote care preferred.
• Experience with high-risk or chronically ill populations preferred.
• Bilingual in English and Spanish required.

Responsibilities

• Conduct comprehensive assessments in members’ homes.
• Collaborate with interdisciplinary team members.
• Develop individual care plans focused on health outcomes.
• Support medication safety through reconciliation.
• Manage transitions of care following hospitalizations.

Skills

Leadership and ability to develop others

Critical-thinking

Problem solving

Decision-making skills

Strategic mindset

Excellent written and verbal communication

Strong organizational skills

Ability to multitask

Ability to maintain confidentiality

Knowledge of medical terminology

Education

Bachelor’s degree in nursing (BSN)

California Registered Nurse (RN) license

Certified Case Manager (CCM) certification

Graduate or advanced degree or equivalent experience

Job description

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.