RN Care Manager (Bilingual Spanish)

The Clover Care Services organization delivers proactive support and care to our members through our clinical Clover Home Care teams, and quality improvement services to our aligned providers through our practice engagement team. Clover has built one of the most proactive, data-driven health care services platforms and is excited about how technology impacts our ability to bring transformative results to both patients and providers. The RN Care Manager (RNCM) collaborates closely with members, their health providers, and Clover clinical teams to improve member health outcomes. To do so, the RNCM facilitates member assessments, evaluations, care planning, care coordination, and advocacy related to a member’s comprehensive health needs. This process includes medical, social, developmental, behavioral, financial, and educational intervention with focus on high quality and cost effective outcomes. The RN Care Manager will report directly to the Manager, Clinical Care Management. As a RN Care Manager, you will: Engage and provide telephonic care coordination and management to identified patient populations. Effectively collaborate with members of Clover clinical teams (e.g. In-Home Care team, Readmission Prevention Program team, Supportive Care team, Behavioral Health team, field Nurse Practitioners, Medical Assistants). Initiate referrals to specialty services, follow up on open r...