REMOTE Pediatric RN Case Manager - Bilingual Fujianese

Jobot; Philadelphia (Philadelphia County); Remote; USD 81,000 - 116,000; Full time

Job summary

A leading health insurance provider seeks a REMOTE Pediatric RN Case Manager fluent in Fujianese. The role focuses on managing both physical and behavioral health care, advocating for families, and developing care plans tailored to individual needs. Candidates should have a minimum of one year of pediatric experience and a RN license.

Benefits

Paid Time Off (PTO) beginning on Day 1

Tuition Reimbursement available

Immediate health benefits with low premiums

Vision & Dental Benefits

401k Retirement Savings plans with employer match

Employee Assistance Program

Pet Insurance and discounts

Qualifications

• Must be fluent in Fujianese.
• At least 1 full year of pediatric clinical field experience.
• Behavioral health experience is a plus.

Responsibilities

• Plans and manages care with members, ensuring coordination of services.
• Develops care plans in alignment with physician’s treatment plans.
• Documents all encounters with providers and updates care plans as needed.

Skills

Pediatric Care Management

Patient Advocacy

Behavioral Health

Education

Registered Nurse License

Job description

3 days ago Be among the first 25 applicants

This range is provided by Jobot. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$81,000.00/yr - $116,000.00/yr

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Job details

REMOTE Pediatric RN Case Manager (Fluent in Fujianese) with FREE Single Health insurance that starts day 1

This Jobot Job is hosted by Donna Gawroski-Kusik

Are you a fit? Easy Apply now by clicking the "Easy Apply" button and sending us your resume.

Salary $81,000 - $116,000 per year

A Bit About Us

Highly respected Health Insurance plan in the NYC metro that has successfully served the community for over 30 years. We offer Medicaid and Medicare plans as well a Managed long Term Care plans



Why join us?

• Paid Time Off (PTO), with accrual beginning on Day 1
• Tuition Reimbursement available after 6 months of employment in benefit eligible position
• Immediate health benefits including bi-weekly premium as low as $10 for single coverage
• Low-cost Active&Fit nationwide fitness center membership for covered associates
• Vision & Dental Benefits
• Life Insurance
• Short- & Long-Term Disability
• 401k Retirement Savings plans with employer match
• A Discount Marketplace to local attractions and fitness centers
• Health and Dependent Care Flexible Spending Accounts
• Competitive, market-based compensation
• Collaborative environment with Yammer and Microsoft Teams engagement
• Opportunities for community involvement
• Employee Assistance Program offering free and confidential services
• Pet Insurance and discounts
  
  

Job Details

100% REMOTE Full time RN Pediatric Case Manager role - RN MUST be fluent in Fujianese

RN Must live in the tri-stae area of NY / NJ / CT

The RN will be hired for the Medical Case Management team and must have at least 1 full year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populations. Behavioral Health experience is a plus.

• The Care Manager plans and manages behavioral and/or physical care with members and works collaboratively with them, their support, providers, and health care team members.
• The Care Manager is responsible for applying care management principles when engaging members and addressing the coordination of their health care services to provide excellent member experience, address barriers, and improve their health outcomes.
• Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits.
• Conducts assessments to identify barriers and opportunities for intervention.
• Develops care plans that align with the physician’s treatment plans and recommends interventions that align with proposed goals.
• Generates referrals to providers, community-based resources, and appropriate services and other resources to assist in goal achievement and maintenance of successful health outcomes.
• Liaise between service providers such as doctors, social workers, discharge planners, and community-based service providers to ensure care is coordinated and care needs are adequately addressed.
• Evaluates service authorizations to ensure alignment and execution of the member’s care and physician treatment plan.
• Documents all encounters with providers, members, and vendors in the appropriate system in accordance with internal and established documentation procedures; follows up as needed; and updates care plans based on member needs, as appropriate.
  
  

Interested in hearing more? Easy Apply now by clicking the "Easy Apply" button.

Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.

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Click our Jobot logo and follow our LinkedIn page!

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care, Medical Practices, and Mental Health Care

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