Inpatient Review Nurse, California RN/LVN License Required, Part-Time, Weekends, Pacific Time Schedule

🔥 14 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $77.9k - $116.9k / year

⏱ Part Time

🟡 Mid-level

🟠 Senior

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Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

💰 $135M Series C on 2020-03

Healthcare Insurance • Insurance • Healthcare

Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.

📋 Description

• Performs reviews of inpatients with complex medical and social problems • Generates referrals to contracted ancillary service providers and community agencies with the agreement of the patient’s primary care physician • Performs follow-up reviews and evaluations of patients in the ambulatory care or lower level of care setting • Reviews inpatient admissions timely and identifies appropriate level of care and continued stay based on acceptable evidence-based guidelines used by AHC • Effectively communicates with patients, their families and or support systems, and collaborates with physicians and ancillary service providers to coordinate care activities

🎯 Requirements

• Minimum 3 years of general case management skills • Minimum of two years of experience utilizing Milliman Care Guidelines to justify Inpatient versus Observation Length of stay • Two consecutive years related experience in a managed care setting as an inpatient case manager • Successful completion of an accredited Licensed Vocational Nursing Program • Must have and maintain an active, valid, and unrestricted LVN or RN license in California (Non-Compact)

🏖️ Benefits

• Health insurance • Flexible work arrangements • Professional development opportunities