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Alignment Health
Alignment Health
501 – 1,000 कर्मचारी
बीमास्वास्थ्य बीमास्वास्थ्य सेवा
Alignment Health एक स्वास्थ्य बीमा कंपनी है, जिसका उद्देश्य मेडिकेयर सदस्यों—विशेष रूप से वरिष्ठ नागरिकों, दीर्घकालिक स्वास्थ्य समस्याओं के साथ जीवन बिताने वाले लोगों और कमजोर स्वास्थ्य वाले व्यक्तियों—की देखभाल को बेहतर बनाना है। 2013 में स्थापित यह कंपनी व्यक्तिगत देखभाल मॉडल को प्रौद्योगिकी और चौबीसों घंटे उपलब्ध कंसीयर्ज देखभाल टीम के साथ जोड़ती है, ताकि विश्वसनीय स्थानीय प्रदाताओं के साथ सहायता का समन्वय किया जा सके। इसका कार्य स्वास्थ्य सेवा प्रदान करने और बीमा, दोनों क्षेत्रों में फैला है, जिसमें सदस्यों के लिए देखभाल को अधिक सुलभ, तत्पर और लागत-सचेत बनाने पर ध्यान दिया जाता है। Alignment Health एक बढ़ते हुए स्वास्थ्य सेवा संगठन में नियुक्तियां करती है, जो मेडिकेयर समुदायों की आवश्यकताओं को पूरा करता है।
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कंपनी की नौकरियाँ

Bilingual Spanish RN Case Manager – Medicare SNP (California Remote)

Provide remote bilingual Spanish case management for Medicare Special Needs Program members at Alignment Health. Assess complex needs, coordinate services, close care gaps, and support members and providers.

USसंयुक्त राज्यCAकैलिफ़ोर्निया
$77,905 – $1,16,858 / वर्ष
रिमोटपूर्णकालिकजूनियरमध्य स्तरआवश्यक भाषा: अंग्रेज़ीआवश्यक भाषा: स्पेनिशद्विभाषी

विवरण

  • Coordinate care for members, families, and physicians.
  • Facilitate referrals and authorizations to secure appropriate care for urgent needs.
  • Conduct comprehensive assessments of health status, resource use, treatment plans, and services.
  • Partner with members, primary care providers, and care teams to implement care plans.
  • Coordinate treatment plans with physicians, hospitalists, nurse practitioners, and specialists.
  • Deliver education and self-management guidance suited to each member’s learning style.
  • Help resolve provider, claims, and service-related issues.
  • Coordinate effectively with delegated and contracted providers, groups, and entities.
  • Protect confidential health information in accordance with applicable law and company policy.
  • Contact and engage members by telephone.
  • Apply the nursing process when supporting members with complex or chronic care needs.

आवश्यकताएँ

  • At least two years of clinical experience.
  • At least one year of case management experience.
  • Post-secondary coursework leading to RN licensure or an associate degree in nursing.
  • An active, valid, unrestricted California RN license that is non-compact.
  • Willingness to obtain non-compact LVN and/or RN licenses in Nevada and compact licenses in Arizona, North Carolina, and Texas immediately after hire.
  • Strong knowledge of community resources, treatment options, home health, funding options, and special programs.
  • Extensive knowledge of chronic condition management.
  • Strong written and verbal communication skills.
  • Proficiency with PC-based software, including Word, Excel, and PowerPoint.
  • Ability to perform mathematical calculations and calculate basic statistics.
  • Ability to prioritize multiple tasks, apply advanced reasoning, establish facts, draw conclusions, and resolve problems.
  • Strong problem-solving, organizational, and time-management abilities.
  • Ability to understand and analyze statistical reports, and willingness to work from 8:00 a.m. to 5:00 p.m. Pacific Time.
  • benefits

लाभ

  • The company reimburses LVN and/or RN licensure costs for Nevada, Arizona, North Carolina, and Texas.
  • Equal Opportunity/Affirmative Action Employer.

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