Bilingual RN Care Manager

Pair Team is on a mission to improve the wellbeing of underserved communities through increased access to high-quality care.

We are the first tech-enabled care team that empowers safety-net primary care systems and the Medicaid & Medicare patients they serve. We act as an extension of the clinical staff to provide a personalized, high-touch care experience while addressing patients' barriers to care such as lack of transportation, housing/food insecurity, and mobile phone access. Internally, we are building a unique care delivery platform to ensure clinical best practices, integrate care with community-based organizations, and automate administrative work so that we can focus on time with our patients.

• Trust: We consistently strive to earn the trust of our patients, our clinic partners, and our teammates.
• Growth: We grow together – as a company and as individuals.
• Accountability: We act like owners and take pride in our work.
• Act beyond yourself: Our vision and impact goes beyond ourselves and so must our actions.

Pair Team is building a team of deeply passionate individuals ready to change primary care operations for those who need it most. We are looking for a highly motivated full-time Registered Nurse Care Manager who is willing to think creatively and empathically to help our team change the way people access healthcare.

We seek a full-time Registered Nurse Care Manager to play a critical role in our whole-person, interdisciplinary care model by supporting patient-driven care plans to drive improved outcomes for individuals living with Serious Mental Illness, Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs. The Registered Nurse Care Manager will work in a team-based model with a lead care manager community health worker, behavioral health care manager, and nurse practitioner to contribute their clinical expertise towards improving the individuals quality of life through activities such as health education and complex care management.

This is a remote-forward hybrid position; ~10% of your work will be on-site in Merced, CA.

• Primarily work with and support a caseload of individuals with complex medical needs
• Work with individual to identify health/wellness goals and incorporate goals into a Shared Care Plan
• Educate individuals on medical and behavioral health conditions (including medication) to improve health literacy
• Provide medication reconciliation in collaboration with the individuals's pharmacy
• Provide care management services such as coordinating prescriptions and completing prior authorizations
• Track and assure that 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
• Use relationship-based strategies to engage individuals in care, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
• Seek to listen openly to individuals and meets them where they are – understanding that adopting an "it's not my fault but it is my problem"…