LogoFresh Jobs Ahead
Alignment Health
Alignment Health
501 – 1 000 Darbuotojai
DraudimasSveikatos draudimasSveikatos priežiūra
„Alignment Health“ yra sveikatos draudimo bendrovė, orientuota į geresnę „Medicare“ sistemos dalyvių priežiūrą, ypač senjorų, lėtinėmis ligomis sergančių ir silpnos sveikatos žmonių. 2013 m. įkurta bendrovė derina individualizuotą priežiūros modelį su technologijomis ir visą parą veikiančia konsultavimo bei priežiūros komanda, kuri koordinuoja pagalbą su patikimais vietos paslaugų teikėjais. Jos veikla apima sveikatos priežiūros paslaugų teikimą ir draudimą, daugiausia dėmesio skiriant tam, kad priežiūra nariams būtų lengviau pasiekiama, operatyvesnė ir labiau orientuota į išlaidas. „Alignment Health“ samdo darbuotojus į augančią sveikatos priežiūros organizaciją, aptarnaujančią „Medicare“ bendruomenių poreikius.
LinkedIn
Darbai įmonėje

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.

USJungtinės Valstijos
79 697 $ – 119 545 $ / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųPrivaloma Kalba: ispanųDvikalbis

Aprašymas

  • 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.

Reikalavimai

  • 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.

Susiję darbai

Centennial Mental Health Center, Inc.

Remote Bilingual Behavioral Health Provider

Centennial Mental Health Center, Inc.
51 – 200 Darbuotojai
Ne pelno organizacijosSveikatos priežiūra
USJungtinės ValstijosAZArizonaCOKoloradasKSKanzasasNENebraskaTXTeksasas
60 000 $ – 83 500 $ / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųDvikalbis

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.

Atidaryti
Winning Assistants LLC

Bilingual Spanish-English Medical Virtual Receptionist

Winning Assistants LLC
51 – 200 Darbuotojai
KonsultavimasLogistikaRinkodara
ARArgentinaCOKolumbijaMXMeksikaSVSalvadorasUSJungtinės ValstijosVEVenesuela
10 400 $ – 12 480 $ / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųPrivaloma Kalba: ispanųDvikalbis

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.

Atidaryti