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.

Telephonic RN Case Manager, Special Needs Plan (California Remote)

Provide remote telephonic case management for Alignment Health members with complex and chronic conditions. Complete assessments, coordinate care, develop care plans, and deliver disease-management education.

Сипаттама

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

Талаптар

  • Hold an active, unrestricted California RN license; non-Compact license required
  • Have at least two years of clinical nursing experience
  • Have at least one year of case management experience
  • Use Microsoft Office applications, including Word, Excel, and Outlook, proficiently
  • Be willing to obtain RN licensure in Nevada, Arizona, North Carolina, and Texas after hire
  • Bilingual applicants are preferred, including speakers of Spanish, Korean, Mandarin, or other languages
  • Previous health plan or IPA experience is preferred
  • A Bachelor of Science in Nursing is preferred
  • Maintain a HIPAA-compliant workspace
  • Work Pacific Time hours
  • LVNs are not eligible for this position

Артықшылықтар

  • Medical, dental, and vision coverage
  • 401(k) plan with employer matching
  • Paid time off and paid holidays
  • Career development and continuing education support
  • Referral bonuses for successful hires
  • Company-provided equipment and IT support
  • Competitive compensation

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