Telephonic RN Case Manager, SNP – Bilingual Preferred

🕒 2 days ago

🏄 California – Remote

🏄 California – Remote

💵 $77.9k - $116.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💬 Bilingual

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Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

👥 B2C

💰 $321.1M Post-IPO Debt - Alignment Health on 2024-11

Healthcare Insurance • B2C

Alignment Health is a Medicare-focused health insurance company that offers Medicare Advantage plans and member-centered services. It provides 24/7 on-demand access to care via in-person, in-home, and mobile channels and features a concierge-style on-demand card to help members schedule appointments, arrange transportation, and answer health questions. Alignment Health partners with brokers, providers, Accountable Care Organizations (ACOs), and institutional partners, operates in multiple U. S. states (including Arizona, California, Nevada, North Carolina, and Texas), and has earned high CMS ratings and industry recognition.

📋 Description

• Coordinates care by serving as a resource for the member, their family, and their physician. • Ensures access to appropriate care for members with urgent or immediate needs facilitating referrals/authorizations within the benefit structure as appropriate. • Completes comprehensive assessments within their scope of practice that includes assessing the member's current health status, resource utilization, past and present treatment plan, and services. • Collaborates with the member, the PCP, and other members of the care team to implement a plan of care. • Interfaces with Primary Care Physicians, Hospitalists, Nurse Practitioners, and specialists on the development of care management treatment plans. • Provides education and self-management support based on the member’s unique learning style. • Assists in problem solving with providers, claims or service issues. • Works closely with delegated or contracted providers, groups, or entities to assure effective and efficient care coordination. • Maintains confidentiality of all PHI in compliance with state and federal law and Alignment Healthcare Policy.

🎯 Requirements

• Minimum 2 years' clinical experience • Minimum 1 year case management experience • Successfully passing Post High School courses to obtain an RN licensure or AS in Nursing • Must have and maintain an active, valid, and unrestricted RN license in California (Non-Compact)

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off