RN Case Manager – Care Transitions, Bilingual Spanish

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $85.7k - $128.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💬 Bilingual

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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

• Manage and coordinate health care for members with complex and chronic care needs within the scope of licensure • Assess, develop, implement, coordinate, monitor, and evaluate care plans across the care continuum • Coordinate and monitor member progress and services to ensure consistent, cost-effective care compliant with policies and regulations • Create individualized discharge plans with patients, families, and the care team • Coordinate care with providers, rehabilitation facilities, and home health agencies • Monitor patient progress and adjust care plans as needed • Educate and empower patients and families for self-care and follow-up • Advocate for patient needs and connect them to community support services • Participate in care conferences, quality improvement initiatives, and interdisciplinary collaboration • Perform duties mostly telephonically

🎯 Requirements

• 5 years of clinical case management experience, or an equivalent combination of education and experience • Active, unrestricted RN license in California • Willingness to obtain other state licenses • Knowledge of Medicare Managed Care Plans, insurance regulations, and community resources • Strong communication, problem-solving, and organizational skills • Ability to perform the essential physical functions, including standing, walking, sitting, using hands, reaching, and frequently lifting or moving up to 10 pounds • Bilingual Spanish requirement indicated by the job title

🏖️ Benefits

• Fully remote role with flexible scheduling • Opportunity to lead impactful patient care initiatives • Collaborate with a supportive, interdisciplinary team • Professional growth and continuous learning opportunities