LogoFresh Jobs Ahead
Alignment Health
Alignment Health
501 – 1000 Zaposleni
ZavarovanjeZdravstveno varstvoZdravstveno zavarovanje
Alignment Health je zdravstvena zavarovalnica, osredotočena na izboljšanje oskrbe za člane programa Medicare, zlasti za starejše, ljudi s kroničnimi boleznimi in krhke osebe. Podjetje, ustanovljeno leta 2013, združuje personaliziran model oskrbe s tehnologijo in 24-urno ekipo za usklajevanje oskrbe, ki podporo usklajuje z zaupanja vrednimi lokalnimi ponudniki. Njegovo delo zajema zagotavljanje zdravstvene oskrbe in zavarovanje, pri čemer si prizadeva, da bi bila oskrba za člane dostopnejša, odzivnejša in bolj gospodarno naravnana. Alignment Health zaposluje v rastoči zdravstveni organizaciji, ki skrbi za potrebe skupnosti programa Medicare.
LinkedIn
Delovna mesta v podjetju

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.

USZdružene države Amerike
79.697 $ – 119.545 $ / leto
Na daljavoPolni delovni časSrednja ravenSeniorZahtevani Jezik: angleščinaZahtevani Jezik: španščinaDvojezičen

Opis

  • 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.

Zahteve

  • 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.

Sorodna delovna mesta

Centennial Mental Health Center, Inc.

Remote Bilingual Behavioral Health Provider

Centennial Mental Health Center, Inc.
51 – 200 Zaposleni
Neprofitne organizacijeZdravstveno varstvo
USZdružene države AmerikeAZArizonaCOKoloradoKSKansasNENebraskaTXTeksas
60.000 $ – 83.500 $ / leto
Na daljavoPolni delovni časSrednja ravenSeniorZahtevani Jezik: angleščinaDvojezičen

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.

Odpri
Winning Assistants LLC

Bilingual Spanish-English Medical Virtual Receptionist

Winning Assistants LLC
51 – 200 Zaposleni
LogistikaSvetovanjeTrženje
ARArgentinaCOKolumbijaMXMehikaSVSalvadorUSZdružene države AmerikeVEVenezuela
10.400 $ – 12.480 $ / leto
Na daljavoPolni delovni časSrednja ravenSeniorZahtevani Jezik: angleščinaZahtevani Jezik: španščinaDvojezičen

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.

Odpri