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Devoted Health

Bilingual RN Case Manager, Transitions of Care

Devoted Health

. Provide telephonic, short-term, interdisciplinary care management in the 30 days post-discharge for patients at high risk for readmission .

Posted 11/2/2026full-timeRemote • United StatesMid-LevelSenior💰 $85,000 - $100,000 per yearWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in telephonic care management, patient advocacy, and interdisciplinary collaboration to ensure effective post-discharge support. Proficient in developing care plans and educating patients on chronic conditions while utilizing clinical analytical thinking to address individual patient needs.

Highest-signal resume keywords
RN LicenseTelephonic Care ManagementBilingual English/SpanishMedicare Advantage ExperienceClinical Analytical Thinking

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Care ManagementPatient AdvocacyCare Plan DevelopmentPatient EducationAssessment of Comorbid ConditionsMedication AdherenceData Tools UtilizationEvidence-Based HealthcareCare Gap ManagementTransitions of Care
Soft Skills
CommunicationInterpersonal SkillsEmpathyProblem-SolvingEnthusiasm for Patient Interaction
Certifications & Qualifications
Unrestricted Compact RN License
Industry Keywords
Health InsuranceMedicare AdvantageSpecial Needs PlanPopulation HealthPost-Discharge Care

About the role

Key responsibilities & impact
  • Provide telephonic, short-term, interdisciplinary care management in the 30 days post-discharge for patients at high risk for readmission
  • Advocate for patients by coordinating care and ensuring necessary resources and support
  • Engage newly discharged patients telephonically to understand their needs using technology and data tools
  • Conduct assessments covering comorbid conditions, ED/hospitalization history, medications, psychosocial factors, and patient values and preferences
  • Develop care plans with patients and caregivers, including problems, goals, and interventions, while evaluating progress
  • Explain complicated medical terms in plain language
  • Educate patients on chronic conditions, red flags, exacerbation plans, and barriers such as medication adherence
  • Provide active care management to close care gaps
  • Partner with TOC Nurse Practitioners and Physicians on handoffs, follow-up, and coordinated post-discharge care
  • Refer patients to Devoted Medical when applicable
  • Work with Devoted Community Guides to identify community-based organizations
  • Coordinate post-treatment care and DME needs
  • Collaborate with PCP partners to deliver evidence-based, effective, and accessible healthcare

Requirements

What you’ll need
  • An unrestricted Compact RN license obtained in the United States with the ability to secure other licensure states
  • 3-4 Years of Experience of RN Care Management/telephonic case management experience
  • Fully bilingual in English/Spanish
  • Located in CT/MT/PT time zones
  • Enthusiasm for working in a setting where meaningful time is spent on the phone with patients and/or their caregivers
  • Comfort and confidence working in an environment guided by performance and productivity metrics, with a focus on quality outcomes and patient experience
  • Health insurance experience, particularly Medicare Advantage
  • Prior Special Needs Plan, Population Health, or Transitions of Care case/care management experience
  • Clinical analytical thinking that allows you to apply your skills to the individual needs of each patient
  • Telephonic care/case management experience

Benefits

Comp & perks
  • Employer sponsored health, dental and vision plan with low or no premium
  • Generous paid time off
  • $100 monthly mobile or internet stipend
  • Stock options for all employees
  • Bonus eligibility for all roles excluding Director and above
  • Parental leave program
  • 401K program