RN Nurse Health Specialist (Remote | California RN License Required | Rotating Pacific Time Schedule)
About The Position
Alignment Health is seeking a remote RN Nurse Health Specialist to join the Virtual Care Center team. As a Nurse Health Specialist, you will serve as a frontline triage nurse, utilizing your clinical judgment to assess patient concerns, provide telephonic and video-based clinical support, determine appropriate next steps in care, and escalate patient calls to an Advanced Practice Clinician (APC) when appropriate. You will manage patient care and treatment in collaboration with Physicians, Nurse Practitioners, Physician Assistants, Care Coordinators, and other members of the care team. This position is ideal for nurses with experience in Emergency Department (ED), Urgent Care, ICU, CCU, Critical Care, Triage Nursing, or Telehealth environments who thrive in a fast-paced virtual setting and can independently manage multiple priorities while providing exceptional patient care and customer service.
Requirements
- Minimum of one (1) year experience as an RN
- Knowledge of clinical standards of care
- Experience assessing and triaging patient symptoms utilizing sound clinical judgment
- Able to manage multiple priorities within a fast-paced virtual environment
- Strong documentation, communication, and time-management skills
- Registered Nurse (RN)
- Successful completion of an accredited nursing program
- Current, unrestricted California RN license at the time of hire
- Must obtain all additional state nursing licenses required by Alignment Health within the first three (3) months of employment (Arizona, Nevada, North Carolina, Texas).
- CPR certification
- Excellent administrative, organizational, and verbal communication skills
- Effective communication skills with seniors and Medicare populations
- Computer proficient and able to navigate multiple systems simultaneously
- Able to work independently in a remote environment
- Strong multitasking, time-management, and prioritization skills
- Detail-oriented
- Dependable and reliable
Nice To Haves
- Bachelors of Science Nursing (BSN)
- Multi-state nursing licensure
- Emergency Department (ED) nursing experience
- Urgent Care nursing experience
- ICU, CCU, or Critical Care nursing experience
- Telephone Triage experience
- Telehealth, Virtual Care, or Remote Nursing experience
- Remote Patient Monitoring experience
- Experience serving Medicare or senior populations
- Hospice or Home Health experience combined with prior acute-care or critical-care nursing experience
- Knowledge of Medicare Managed Care Plans
- Bilingual English and Spanish
- EMR experience
Responsibilities
- Answer inbound calls into the virtual care center
- Address patient concerns using clinical judgement
- Collaborate with primary care physician, extensivist, and nurse practitioner (NP) / physicians assistant (PA), and case manager (CM) to develop care plan for members for non-Care Anywhere (CAW) patients
- Conduct outbound calls and virtual visits to complete patient follow up
- Review vitals daily for patients enrolled in remote patient monitoring program
- Support disease management referrals
- Interpret and evaluate diagnostic tests to identify and assess patients’ clinical problems and health care needs.
- Educate members on topics such as disease process, end of life, medication, and compliance.
- Discuss case with physician / NP /PA when appropriate.
- Utilize multiple technology platforms simultaneously, including EMR, telephony, messaging, and scheduling systems
- Complete accurate and timely documentation within the EMR by the end of each shift
Benefits
- Licensure reimbursement and support throughout the process
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
