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Nurse Health Specialist

Nurse Health Specialist, Virtual Care Center

Location: Remote-US, California US

Job Number: 5995


By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

RN Health Specialist, VCC

Position Summary:

Provides triaging service for patients who call into the virtual care center. Expected to escalate patient calls to APC when appropriate. Responsible for managing patient care and treatment in collaboration with the Physician and Nurse Practitioner/Physician Assistant.

General Duties/Responsibilities:

(May include but are not limited to)

  • Answering all in bound calls into the virtual care center
  • Expected to use clinical judgement to address patient concerns
  • Collaborates with primary care physician, Extensivist, and Nurse Practitioner/PA, and Case Manager to develop care plan for members. For non care anywhere patients
  • Conduct outbound calls and virtual visits to complete patient follow up
  • Daily review of vitals for patients enrolled in remote patient monitoring program
  • Support disease management referrals
  • Interprets and evaluates diagnostic tests to identify and assess patients’ clinical problems and health care needs.
  • Educates members on topics such as disease process, end of life, medication, and compliance.
  • Discusses case with physician/Nurse Practitioner/PA when appropriate.
  • Use of Electronic Medical Records required.

Minimum Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  1. Minimum Experience:
  2. Knowledge of clinical standards of care
  3. Minimum 1 year experience as an RN
  4. Education/Licensure:
  5. Requires successful completion of an accredited Nursing Program; BSN preferred, Registered Nurse preferred
  6. Current, unrestricted license in the state for which you are applying
  7. Must have CPR certification
  8. Other:
  9. Experience in gerontology, adult care, preferred
  10. Experience in palliative/hospice and complex care management, preferred
  11. Experience in Home Health including wound care, preferred
  12. Knowledge of Medicare Managed Care Plans, preferred
  13. Excellent administrative, organizational and verbal skills
  14. Effective communication skills with seniors
  15. Computer literate and able to navigate the internet
  16. Ability to work independently
  17. Detail oriented
  18. Dependable and reliable
  19. EMR experience is strongly preferred
  20. Bilingual skills valued (Spanish preferred)
  21. Must be flexible with schedule position is active 24 hours 7 days a week
  22. Work Environment:
  23. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
  2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Alignment requires all new hires to follow local and/or state requirements regarding the COVID-19 vaccine and booster. If applicable, proof of vaccination and booster will be required as a condition of employment subject to legal exemptions. This policy, which Alignment reserves the right to modify, is part of Alignment’s ongoing efforts to ensure the safety and well-being of its staff and community and to support public health efforts.

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.

If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact careers@ahcusa.com.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.