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Bilingual Care Coordinator RN (Spanish) - Remote

1 hour, 31 minutes ago
United States
Full-time
Mid Level
Customer Support
Customer and Technical Support
Salesforce
Apply Now
Evry Health

Evry Health

Evry Health is a modern health insurance company that prioritizes delivering great benefits at affordable prices. They offer a unique approach to health insurance by focusing on making members healthier and happier through personalized care from a dedi...

Insurance
11-50
Founded 2017
$7M raised
View All Jobs 4

Description

  • Communicate with members and providers by phone, email, and text to support care coordination and engagement.
  • Educate members and providers on health plan benefits and digital health solutions.
  • Use motivational interviewing, negotiation, and active listening techniques to improve member engagement.
  • Provide proactive and reactive outreach to members and document interactions accurately in internal systems.
  • Handle difficult calls professionally and tactfully while building trust and follow-through.
  • Collaborate with supervisors, utilization management, and medical directors to resolve barriers and support care decisions.
  • Manage escalations within the department with urgency, accountability, and clear communication.
  • Assist with coding, medical records documentation, pre-certification, reimbursement, and claim denials/appeals.
  • Gather clinical information from external facilities and providers to support medical necessity reviews and plan-of-care decisions.
  • Participate effectively in a virtual work environment, including team huddles, 1:1s, messaging, and check-ins.

Requirements

  • 1-2 years of experience working at a health plan, preferably with a commercial population.
  • 3-5 years of nursing experience in a clinical setting with direct patient care, such as hospital or ambulatory care.
  • Current, unrestricted Texas nursing license or Compact License.
  • Must be fluent in conversational Spanish.
  • Diploma from an accredited school or college of nursing.
  • Working knowledge of medical and insurance terminology, including health plan benefits, CPT, ICD-10, authorizations, and digital health programs.
  • Experience outreaching to and educating members telephonically.
  • Interest or experience in cardiology/pulmonology, women’s health, orthopedic surgery/physical medicine, primary care/pediatrics, or oncology.
  • Familiarity with Salesforce, Healthcloud, or CareIQ is preferred.
  • Experience working in a call center is preferred.
  • Must reside in the United States in the Eastern or Central time zone.
  • Must be available to work weekdays 9-5 CST and rotating on-call weekends.
  • Must have a dedicated private workspace and a high-speed internet connection.

Benefits

  • Competitive salary.
  • Comprehensive health, dental, and vision insurance, plus life and disability coverage.
  • Retirement savings plan with company match.
  • Generous time off/vacation.
  • Professional development opportunities.
  • Flexible, remote work environment.

Interested in this position?

Apply directly on the company website

Apply Now

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