Remote RN Case Manager - Care Transitions - Bilingual Spanish - California RN License Required
About The Position
Alignment Health is seeking a Remote RN Case Manager specializing in Care Transitions. This role is crucial for serving seniors and the chronically ill by managing and coordinating healthcare. The company is dedicated to putting seniors first and offers opportunities for growth and innovation in a fast-growing environment. This position allows for work that truly matters, impacting and potentially saving lives. The RN Case Manager will be responsible for health care management and coordination within the scope of licensure for members with complex and chronic care needs. This involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health across the care continuum. The role requires coordinating and monitoring Alignment Healthcare member progress and services to ensure consistent, cost-effective care that complies with company policy and all state and federal regulations. A significant portion of the duties will be performed telephonically.
Requirements
- 5 years of clinical case management experience; or any combination of education and experience, which would provide an equivalent background.
- Active, unrestricted RN license in California (willing to obtain other state licenses).
- Knowledge of Medicare Managed Care Plans, insurance regulations, and community resources.
- Strong communication, problem-solving, and organizational skills.
- Bilingual Spanish is a plus.
- California RN License Required.
Nice To Haves
- Willing to obtain other state licenses.
Responsibilities
- Create individualized discharge plans with patients, families, and the care team.
- Coordinate care with providers, rehab facilities, and home health agencies.
- Monitor patient progress and adjust 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.
- Performs duties mostly telephonically.
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.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
