Job Description

Remote Medical Case Manager (RN or LVN) – Bilingual Korean

Location: Fully Remote (Must reside in Southern CA)

Schedule: Full-Time | Monday–Friday, 8:00 AM–5:00 PM PST (some flexibility available)

Employment Type: Direct Hire

Position Overview

We are seeking a compassionate and clinically strong Remote Medical Case Manager to support a high-acuity, dual-eligible member population. This role focuses on comprehensive assessments, care planning, and ongoing care coordination for members with chronic and complex medical needs, including heart disease and diabetes .

This position is fully remote , with optional opportunities to engage in in-person member events 1–2 times per quarter in Southern California for those interested.

Day-to-Day Responsibilities

• 90% computer-based work and 25%+ telephonic member interaction
• Manage a high-acuity caseload of members with multiple chronic conditions
• Collaborate closely with interdisciplinary care teams, providers, and caregivers

Key Responsibilities

1. Comprehensive Member Assessments

• Conduct thorough medical, social, and behavioral health assessments
• Identify members appropriate for case management using clinical judgment and established triggers

2. Individualized Care Planning

• Develop, implement, and manage individualized care plans in collaboration with members, caregivers, physicians, and care teams
• Continuously monitor outcomes and update care plans based on member progress and evolving needs

3. Ongoing Case Management & Outreach

• Maintain an active caseload and provide regular telephonic and virtual outreach
• Coordinate care across medical and behavioral health services
• Address barriers to care and support continuity of services

4. Member Education & Engagement

• Educate members using evidence-based guidelines and motivational interviewing techniques
• Encourage self-management, treatment adherence, and healthy behavior changes

5. Documentation & Compliance

• Accurately document assessments, care plans, interventions, and follow-up activities
• Ensure all documentation meets regulatory, quality, and timeline requirements

Required Qualifications

• Active California LVN or RN license (required)
• Fully bilingual in Korean (speaking, reading, and writing)
• Previous experience working in a remote setting
• Must be fluent in both formal and informal Korean , with cultural competence when communicating with elders
• Strong computer skills and comfort working in a remote environment

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