LogoFresh Jobs Ahead
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।
LinkedIn
कंपनी की नौकरियाँ

Remote Bilingual Spanish RN Case Manager, Transition of Care

Coordinate complex and chronic care for Alignment Health members through remote case management. Develop care plans, arrange authorizations and referrals, and collaborate with providers by phone.

USसंयुक्त राज्य
$79,697 – $1,19,545 / वर्ष
रिमोटपूर्णकालिकमध्य स्तरवरिष्ठआवश्यक भाषा: अंग्रेज़ीआवश्यक भाषा: स्पेनिशद्विभाषी

विवरण

  • Connect members with services that address their health needs.
  • Assess members and manage their cases according to established criteria.
  • Carry out care plans by arranging authorizations and referrals within members’ benefits or through special arrangements.
  • Use independent judgment to assess authorization requests and coordinate internal and external resources.
  • Track care plan effectiveness and adjust plans when needed.
  • Coordinate treatment plans with primary care physicians, hospitalists, nurse practitioners, and specialists.
  • Negotiate reimbursement rates when applicable.
  • Help resolve provider, claims, and service issues.
  • Evaluate intervention results to measure case management outcomes.
  • Contribute feedback on utilization and care management policies and procedures.
  • Discuss available care options with patients and families to help them choose suitable and preferred next steps.
  • Perform most duties by phone.

आवश्यकताएँ

  • At least five years of clinical case management experience, or an equivalent combination of education and experience.
  • Associate or bachelor’s degree in nursing.
  • Current, unrestricted RN license in the state where you are applying.
  • Ability to communicate positively, professionally, and effectively; provide leadership; teach; and collaborate.
  • Strong written and verbal communication skills, with the ability to build constructive relationships with diverse members, managers, employees, and vendors.
  • Problem-solving, organization, and time management skills, and the ability to work in a fast-paced setting.
  • Ability to meet essential physical requirements, including standing, walking, sitting, using hands and fingers, reaching, talking, hearing, lifting and moving up to 10 pounds, and performing close-vision tasks and adjusting focus.

संबंधित नौकरियाँ

Maximus

Bilingual RN Health Coordinator, CDC INFO

Maximus
परामर्शसरकारस्वास्थ्य सेवा
USसंयुक्त राज्य
$34 – $68 / घंटा
रिमोटपूर्णकालिकजूनियरमध्य स्तरआवश्यक भाषा: अंग्रेज़ीआवश्यक भाषा: स्पेनिशद्विभाषी

Provide clinical health guidance in English and Spanish through Maximus’s CDC INFO contact center. Respond to questions from the public and health professionals by phone and in writing.

खोलें
Carenet Health

Remote Bilingual Medical Receptionist

Carenet Health
1,001 – 5,000 कर्मचारी
दूरसंचारस्वास्थ्य बीमास्वास्थ्य सेवा
USसंयुक्त राज्य
$17 / घंटा
रिमोटपूर्णकालिकमध्य स्तरवरिष्ठआवश्यक भाषा: अंग्रेज़ीआवश्यक भाषा: स्पेनिशद्विभाषी

Support Carenet Health patients by phone with scheduling, medical record entry, and insurance checks. This remote role serves English- and Spanish-speaking patients.

खोलें
Humana

Bilingual Telephonic Nurse Care Manager

Humana
H1B वीज़ा प्रायोजकबीमास्वास्थ्य बीमास्वास्थ्य सेवा
USसंयुक्त राज्यILइलिनॉय
$71,100 – $97,800 / वर्ष
रिमोटपूर्णकालिकमध्य स्तरवरिष्ठआवश्यक भाषा: अंग्रेज़ीआवश्यक भाषा: स्पेनिशद्विभाषी

Conduct phone-based assessments, coordinate care plans, and educate Illinois members about chronic conditions. Support members remotely in a full-time role with Humana.

खोलें
Centennial Mental Health Center, Inc.

Remote Bilingual Behavioral Health Provider

Centennial Mental Health Center, Inc.
51 – 200 कर्मचारी
गैर-लाभकारीस्वास्थ्य सेवा
USसंयुक्त राज्यAZएरिज़ोनाCOकोलोराडोKSकंसासNEनेब्रास्काTXटेक्सास
$60,000 – $83,500 / वर्ष
रिमोटपूर्णकालिकमध्य स्तरवरिष्ठआवश्यक भाषा: अंग्रेज़ीद्विभाषी

Deliver assessment, therapy, and crisis support to clients through in-person care and a secure tele-behavioral health platform. Coordinate culturally responsive treatment with clients, families, and multidisciplinary teams.

खोलें
Winning Assistants LLC

Bilingual Spanish-English Medical Virtual Receptionist

Winning Assistants LLC
51 – 200 कर्मचारी
परामर्शलॉजिस्टिक्सविपणन
ARअर्जेंटीनाCOकोलंबियाMXमैक्सिकोSVअल सल्वाडोरUSसंयुक्त राज्यVEवेनेज़ुएला
$10,400 – $12,480 / वर्ष
रिमोटपूर्णकालिकमध्य स्तरवरिष्ठआवश्यक भाषा: अंग्रेज़ीआवश्यक भाषा: स्पेनिशद्विभाषी

Provide remote reception support for a California physical therapy practice focused on women’s pelvic health. Manage patient scheduling, intake, and communications in English and Spanish.

खोलें