Spanish Bilingual Complex Care RN

🔥 19 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $85.7k - $128.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💬 Bilingual

👻 Ghost score 0%

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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 care for medically complex Medicare Advantage members • Build trusted relationships with members and caregivers through ongoing virtual engagement • Lead transitions of care following hospital, SNF, and inpatient discharges • Complete medication reconciliations and monitor changes in clinical status • Identify and escalate clinical concerns to the appropriate provider • Partner with multidisciplinary teams to ensure seamless, coordinated care • Support chronic disease management for heart failure, COPD, diabetes, and CKD • Assist with HEDIS, quality initiatives, and care gap closure activities • Maintain accurate, timely documentation in Athena EMR • Collaborate with Advanced Practice Clinicians, Care Coordinators, Health Coaches, Social Workers, and Primary Care Providers within the Care Anywhere model

🎯 Requirements

• Candidates must reside in the South Bay San Diego area • Bilingual in Spanish and English (read, write, speak) • Minimum 3 years of RN experience in complex care, care management, case management, transitions of care, palliative care, hospice, acute care, or a related clinical setting • Experience managing medically complex, high-risk patient populations • Experience with chronic disease management, medication reconciliation, and care transition coordination • Experience in Medicare Advantage, managed care, home-based care, or value-based care environments • Knowledge of HEDIS, HCC coding, and care gap management • Experience working in telehealth or virtual care settings • Strong interdisciplinary care coordination and communication skills • Associate Degree in Nursing (ADN) required • Active, unrestricted RN license in California • Current BLS certification • BSN or higher strongly preferred • Certified Case Manager (CCM) certification preferred • Multi-state RN licensure preferred • Experience with Athena EMR and TalkDesk or similar virtual engagement platforms preferred • Background in population health, care management programs, or Medicare case management preferred • Ability to perform the stated essential physical functions, including frequently lifting and/or moving up to 10 pounds

🏖️ Benefits

• Ample room for growth and innovation • Work at the top of your license supporting high-risk populations • Innovative care model transforming senior healthcare • Collaboration with a dedicated, multidisciplinary care team • Direct impact on reducing hospitalizations and improving member outcomes • Mission-driven organization focused on compassionate, coordinated care • Reasonable accommodation may be made to enable individuals with disabilities to perform essential job functions