Complex Care Registered Nurse – Bilingual English/Spanish

🔥 1 minute ago

🗣️🇪🇸 Spanish Required

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Alignment Health

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

• Own the Member Journey and Care Coordination for High-Acuity Members • Serve as the primary care coordinator for assigned panel of Medicare Advantage members • Build trusted relationships with members through telehealth outreach • Manage transitions of care for members discharging from hospitals • Ensure all members’ care plans are updated following transitions • Conduct medication reconciliations and monitor clinical status • Escalate clinical concerns and support APC clinical decision-making • Facilitate cross-disciplinary care coordination across the pod • Support care gap closure activities • Manage members with chronic conditions through ongoing monitoring • Document all clinical interactions accurately and timely

🎯 Requirements

• Minimum 3 years of clinical RN experience • Experience managing medically complex, high-risk patient populations • Prior experience in a Medicare Advantage, managed care, home-based care • Experience working in a telehealth or virtual care delivery model • Associate Degree in Nursing (ADN) — BSN preferred • Active, unrestricted Registered Nurse (RN) license in applicable state(s)

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development

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