Bilingual RN Care Manager (Remote Flexible - Spanish Speaking)

About the role

Pair Team is an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. We deliver whole-person care—clinical, behavioral, and social—by partnering with organizations deeply connected to the communities we serve. Leveraging AI and automation, we reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support. Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients.

Responsibilities

• Primarily work with and support a caseload of individuals with complex medical needs
• Work with individuals to identify health/wellness goals and incorporate goals into a Shared Care Plan
• Provide health and wellness education to improve health literacy
• Coordinate prescriptions and complete prior authorizations
• Track and ensure all required assessments and screenings are performed
• Collaborate with multidisciplinary care team to identify and address barriers to care
• Identify clinical needs and triage escalations, providing brief interventions as necessary, with support from nurse practitioner clinicians
• Collaborate on care issues with Enhanced Care Management team by participating in systematic case reviews
• Consult with Enhanced Care Management team about clinical concerns or questions, provide educational training on chronic disease states, prevention, treatment, meds, and healthy living
• Build trust and develop relationships with individuals experiencing homelessness, living with Severe Mental Illness/Substance Use Disorder, and living with multiple chronic conditions
• Engage individuals in care using relationship-based strategies, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
• Takes accountability to resolve a patient's needs to the best of his/her/their abilities

Requirements

• Must hold active Registered Nurse license issued by the state of California
• Previous experience in care coordination or case management
• 2-3+ years of experience working for a health plan or at-risk provider
• Bilingual—English/Spanish
• Strong technical skills and comfort with new technology innovation, past experience with CRM databases, basic Google suite, email, and video conferencing
• Quiet and HIPAA-compliant at-home work environment with reliable Internet connection and cell phone
• Strong understanding of cultural fluency
• Demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder
• Empathetic with a drive to reduce barriers to healthcare and social services for underserved communities

Qualifications

• Must hold active Registered Nurse license issued by the state of California
• Located in California (Preferred)
• Previous experience in care coordination or case management
• 2-3+ years of experience working for a health plan or at-risk provider
• Bilingual—English/Spanish
• Strong technical skills and comfort with new technology innovation, past experience with CRM databases, basic Google suite, email, and video conferencing
• Quiet and HIPAA-compliant at-home work environment with reliable Internet connection and cell phone
• Strong understanding of cultural fluency
• Demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder
• Empathetic with a drive to reduce barriers to healthcare and social services for underserved communities

Skills

• A fantastic listener and skilled at "reading people"—able to understand how others may be feeling or thinking based on nuances, uncomfortable silences, or questions they ask
• Excellent communication skills
• Takes accountability to resolve a patient's needs to the best of his/her/their abilities
• Comfortable building relationships with new people
• Zest for problem solving, seeking answers, and thinking outside the box
• Detail-oriented and organized self-starter
• Reliable and comfortable in an ever-changing environment

Benefits

Comprehensive health, vision & dental insurance
401k
Opportunity for rapid career progression with plenty of room for personal growth!
Monthly $100 work from home expense stipend
Flexible vacation policy with unlimited time off
Work entirely from the comfort of your own home—no office

Pay

$80,000 - $95,000

Schedule

Primarily allows for remote work; however, it requires PST working hours.