Alignment Health
Alignment Health
Alignment Health — Medicare бағдарламасына қатысушыларға, әсіресе қарт адамдарға, созылмалы аурулармен өмір сүретіндерге және әлсіз, ерекше күтімді қажет ететін жандарға медициналық көмекті жақсартуға бағытталған медициналық сақтандыру компаниясы. 2013 жылы құрылған компания жекелендірілген күтім үлгісін технологиямен және сенімді жергілікті қызмет көрсетушілермен қолдауды үйлестіретін тәулік бойы жұмыс істейтін кеңес беру тобымен ұштастырады. Оның қызметі денсаулық сақтау қызметтерін көрсету мен сақтандыру салаларын қамтиды және мүшелері үшін көмекті қолжетімді, жедел әрі шығынды ескеретін етуге бағытталған. Alignment Health Medicare қауымдастықтарының қажеттіліктеріне қызмет көрсететін өсіп келе жатқан денсаулық сақтау ұйымының әртүрлі бағыттарына қызметкерлер қабылдайды.

Bilingual Spanish RN Case Manager - Medicare Special Needs Program

Provide remote telephonic case management for Alignment Health members enrolled in Medicare Special Needs Plans. Assess complex and chronically ill members, develop care plans, and address gaps in care.

Сипаттама

  • Deliver telephonic case management for medically complex and chronically ill Medicare Special Needs Plan members
  • Complete comprehensive health assessments and develop individualized care plans
  • Coordinate services with internal teams, physicians, specialists, and other external partners
  • Teach members and caregivers about disease management and preventive care
  • Track member outcomes and advocate for timely, appropriate interventions
  • Recognize and help resolve service or access barriers that affect care quality
  • Communicate with members and partners by phone, email, and Microsoft Teams
  • Perform essential physical duties such as speaking, hearing, standing, walking, sitting, reaching, handling objects or controls, and occasionally lifting or moving up to 10 pounds

Талаптар

  • Hold an active, unrestricted California RN license that is non-compact and valid upon hire
  • Bring at least two years of clinical nursing experience
  • Have a minimum of one year of case management experience
  • Use Microsoft Office applications including Word, Excel, and Outlook proficiently
  • Be willing to obtain RN licenses in Nevada, Arizona, North Carolina, and Texas, with costs reimbursed by the company
  • Be available to work Pacific Time hours
  • Maintain a HIPAA-compliant workspace
  • Bilingual applicants are strongly preferred, particularly those speaking Spanish or Vietnamese
  • Experience with a health plan or IPA is preferred
  • A Bachelor of Science in Nursing is preferred
  • LVNs are not eligible for this position

Артықшылықтар

  • Competitive compensation package
  • Medical, dental, and vision coverage
  • 401(k) plan with employer matching
  • Generous paid time off and paid holidays
  • Career development and continuing education support
  • Referral bonuses for successful hires
  • Company-provided equipment and IT support
  • Reasonable accommodations are available for qualified individuals with disabilities to perform essential job functions

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