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Alignment Health
Alignment Health
501 – 1.000 Angajați
Asigurare de sănătateAsigurăriAsistență medicală
Alignment Health este o companie de asigurări de sănătate axată pe îmbunătățirea îngrijirii pentru membrii Medicare, în special pentru vârstnici, persoane care trăiesc cu afecțiuni cronice și persoane fragile. Fondată în 2013, compania combină un model de îngrijire personalizat cu tehnologia și o echipă de îngrijire concierge disponibilă 24 de ore din 24, 7 zile din 7, pentru a coordona sprijinul împreună cu furnizori locali de încredere. Activitatea sa acoperă furnizarea de servicii medicale și asigurările, cu accent pe o îngrijire mai accesibilă, mai promptă și mai atentă la costuri pentru membrii săi. Alignment Health face angajări în cadrul unei organizații de sănătate aflate în creștere, care răspunde nevoilor comunităților Medicare.
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Locurile de muncă ale companiei

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.

USStatele Unite ale Americii
79.697 $ – 119.545 $ / an
RemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăLimbă Obligatorie: spaniolăBilingv

Descriere

  • 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.

Cerințe

  • 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.

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