HybridRemote applicants may work from home, but on-site visits to Dubuque may be required.
Medical, Clinical & Veterinary
About the job
Requirements
Bilingual: the ability to speak Spanish
Education: RN licensure in the State of Iowa required
Experience: Minimum 2 years of clinical practice
Skills: Strong communication, problem-solving, and computer skills
Ability to work independently
Responsibilities
Provide telephonic case management and utilization review for assigned consumers.
Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Collaborate with healthcare providers, payors, and internal teams to coordinate care.
Serve as a liaison between consumers and benefit administrators, ensuring clear communication and support.
Track and report case outcomes, including cost savings and quality improvements.
Desired Qualifications
BSN or higher preferred
Case management or utilization review experience strongly preferred
Bilingual RN Case Manager
Location: Onsite in Dubuque, IA. Also accepting remote applicants.
We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the continuum of care. The RN Case Manager will assess, plan, implement, coordinate, monitor, and evaluate care for assigned consumers, ensuring quality outcomes and cost-effective treatment. This role is based in our Dubuque office and is also available remotely.
Key Responsibilities:
Provide telephonic case management and utilization review for assigned consumers.
Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Collaborate with healthcare providers, payors, and internal teams to coordinate care.
Serve as a liaison between consumers and benefit administrators, ensuring clear communication and support.
Track and report case outcomes, including cost savings and quality improvements.
Qualifications:
Bilingual: the ability to speak Spanish
Education: RN licensure in the State of Iowa required. BSN or higher preferred.
Experience: Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred.
Skills: Strong communication, problem-solving, and computer skills. Ability to work independently.
HealthCheck 360 was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through our Health Coaching and Condition Management programs.