Bilingual Registered Nurse – Virtual Care & Care Management (Spanish/English) REMOTE

About the role

CareTalk Health is seeking experienced and highly organized Bilingual Registered Nurses (Spanish/English) to join our virtual care team. This fully remote role blends care management, care navigation, and Annual Wellness Visit (AWV) chart preparation, supporting providers in delivering comprehensive, compliant, and patient-centered care.

Responsibilities

• Prepare comprehensive AWV charts to support provider efficiency and CMS compliance.

• Review and summarize with patients in face-to-face virtual visits via Zoom: Medical, surgical, and family histories Medication lists and adherence Preventive screenings and immunizations Cognitive, functional, and depression assessments Identify overdue screenings, risk factors, and care gaps prior to visits.

• Communicate concise patient summaries and key findings to providers before each AWV.

• Coordinate with patients to obtain missing or clarified information as needed.

• Ensure documentation meets Medicare, CMS, and organizational requirements.

• Provide telephonic and portal-based care management for medically complex patients with chronic, behavioral health, and socio-economic comorbidities.

• Conduct comprehensive nursing assessments addressing: Physical, functional, psychological, social, environmental, and learning needs Develop, implement, and monitor individualized care plans for: CCM, RPM, RTM, and APCM Complete care plan creation and annual updates for APCM, including goal-setting, interventions, and progress tracking.

• Utilize motivational interviewing to engage patients and caregivers in care planning and adherence.

• Monitor patient progress, reassess goals, identify barriers, and adjust care plans as needed.

• Communicate patient status and care plan updates to primary care providers and interdisciplinary care teams.

• Provide patient education, coaching, and support aligned with health literacy and cultural needs.

• Act as a patient advocate and assist with problem-solving and escalation when appropriate.

• Actively work in care navigation to: Identify and close care gaps (preventive screenings, labs, medications, follow-ups). Coordinate and facilitate orders, referrals, and follow-up actions as needed. Monitor service delivery to ensure appropriateness, avoid duplication, and meet patient needs. Coordinate care across multiple services and providers to ensure continuity and quality.

• Maintain accurate, timely, and confidential patient records. Utilize electronic health record systems (CT360, RXNT, Zoom) and telehealth platforms effectively. Measure and support outcomes related to clinical quality, patient engagement, and satisfaction.

• Adhere to HIPAA, CMS, and organizational compliance standards.

• Participate in professional development and ongoing training.

• Demonstrate strong, independent decision-making, prioritization, and multitasking skills.

• Perform other duties as assigned.

Requirements

• Bilingual in English and Spanish required; must be able to conduct patient conversations, provide support, and communicate healthcare information accurately in both languages.
• Active, unrestricted Registered Nurse (RN) license in a compact state.
• Ability and willingness to obtain additional state licenses upon hire (company paid).
• Minimum 2–3 years of clinical nursing experience.
• Experience providing care in a telehealth or virtual care setting.
• Experience working remote.
• Experience in one or more of the following: Chronic Care Management (CCM) Remote Patient Monitoring (RPM) Telehealth or virtual care coordination Primary care or care management.
• Proficiency with EHR systems and telehealth platforms.
• Strong clinical assessment and care coordination skills.
• Excellent verbal and written communication skills.
• High level of organization, attention to detail, and time management.
• Ability to work independently in a remote environment.
• Commitment to patient-centered, culturally competent care.

Qualifications

• Dedicated, private home workspace.

Skills

• Knowledge of CMS documentation and preventive care guidelines.
• Certification in case management or gerontological nursing.
• Experience working across multiple virtual care programs and platforms.

Benefits

Not specified.

Pay

$35.00/hour

Schedule

40 hours per week Core coverage Monday–Friday 9:00am–6:00pm EST 1 Saturday per month (10:00am-4:00pm EST) Rotating holidays