Complex Care Registered Nurse, Bilingual English/Spanish Preferred

🕒 July 16

🏄 California – Remote

🏄 California – Remote

💵 $85.7k - $128.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

🛡️ Insurance

🏥 Healthcare

💰 $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 medically complex members • Manage Transitions of Care and Hospital Discharge Coordination • Ensure all members’ care plans are updated following transitions • Complete Medication Reconciliations and Clinical Monitoring • Escalate Clinical Concerns and Support APC Clinical Decision-Making • Facilitate Cross-Disciplinary Care Coordination • Support HEDIS, Quality, and Care Gap Closure activities • Manage Chronic Condition Care Pathways and Guideline-Directed Care Delivery • Document All Clinical Interactions Accurately and Timely in Athena

🎯 Requirements

• Minimum 3 years of clinical RN experience • Demonstrated experience managing medically complex, high-risk patient populations • Prior experience in a Medicare Advantage, managed care, or home-based care environment • Experience working in a telehealth or virtual care delivery model • Must have active, unrestricted Registered Nurse (RN) license in California • Bilingual English/Spanish preferred

🏖️ Benefits

• Health insurance • Flexible working arrangements • Professional development opportunities