Health Plan RN Case Manager Bilingual Cantonese

An established, trusted, and growing Health Plan in the San Francisco Bay Area is actively interviewing Cantonese Bilingual RN Case Managers to fill crucial positions in its Care Coordination and Utilization Review department. Join an amazing team of RN Case Managers and help support a trusted and vital community organization.

This integrated health system has served the San Francisco community for over 50 years. The Bilingual Case Manager will discover an amazing team of clinical and administrative leaders with quality patient care at their very heart. The hospital facility and its satellite clinics have been recognized by The Joint Commission and by the people of the community for its high-quality outcomes and superior patient care. A large part of this comes from the close connection this health system, its Health Plan, and the medical group have with the people it serves.

Reporting to the Nursing Director of Care Coordination, the Health Plan Case Manager RN will work with a large, multidisciplinary team of Inpatient Certified Case Managers (CCM) and Ambulatory / Outpatient Case Managers to ensure that the Health Plan is doing all it can to ensure patients are getting the care they need. This person will work alongside Utilization Review and Preauthorization specialists, as well as Claims Processing and Patient Outreach personnel. 

Though Concurrent Review will be the primary activity, the Bilingual Case Management RN will also get to lead Prospective and Retrospective Reviews in certain situations. You’ll perform on-site, virtual, and telephonic assessments across the entire continuum of care to plan and coordinate the highest quality of care with regards to both compensation and medical necessity.

One of the most important aspects of the RN of Case Management’s role, will be working collaboratively with members of the health plan and hospital, supporting the patients’ families, and interfacing with external stakeholders to help create the best possible outcomes. As the Health Plan continues to add members, and the hospital begins serving a larger part of the community, compassionate care from Case Managers and UR Nurses will make all the difference in establishing the health systems reputation.

The San Francisco Bay Area is well known to have something for everyone. The artistic type, the gourmand, the outdoors person, and the home-body will all find something comforting. Contemporary street art, murals, galleries, and public installations adorn the streets just about everywhere you look. Hundreds of acres of coastline, nature trails, and parkland surround one of California’s most beautiful cities. With Silicon Valley and San Jose a short distance to the south, Stanford, UC Berkeley, and some of California’s best primary schools, the Bay Area is a great place for the Cantonese Bilingual RN Case Manager to build a community and continue learning. Connected by Bay Area Rapid Transit and one of the nation’s best networks of buses and light-rails, you’ll find that it’s easy to get where ever you’re going.

The Case Manager RN will play a direct role in realizing the organization’s growth and development plans. You’ll get the opportunity to work with a wide array internal and external partners, driving the health system’s mission with every decision. For the dedication and hard work that this role will require, the Director will receive a generous benefits package, a competitive compensation, and the job security that comes with a growing and healthy organization.