Home Monitoring Case Manager (Temporary - Part Time)

Job Number: 1488

Workplace Type:

Position Title: Home Monitoring Case Manager (Temporary - Part Time)

External Description:

Alignment Healthcare is seeking a home monitoring case manager.  This is an exciting opportunity to work with advance technology in health care management and coordination within the scope of licensure for members with complex and chronic care needs by assessing, monitoring, and optimizing member health care across the care continuum. As a home monitoring case manager, you will be coordinating and monitoring Alignment Healthcare members’ progress and services to ensure consistent, cost-effective care that complies with Alignment policy and all state and federal regulations and guidelines. Most of the duties are performed telephonically.

This position reports jointly to operational and clinical leadership.

General Duties/Responsibilities:
(May include but are not limited to)

• Monitor clinical alerts, triage patients’ needs and follow the established decision tree.
• Monitor home monitoring devices, assess patients’ needs and follow up accordingly.
• Ensures member access to services appropriate to their health needs.
• Interfaces with Primary Care Physicians, Hospitalists, Nurse Practitioners and specialists on the development of care management treatment plans.
• Assists in problem solving with providers, claims, or service issues.
• Participates and provides feedback in the development of utilization / care management policies and procedures.
• Counsels and engages in personal discussions with patients and their families on available care options. Helps them to determine their appropriate and preferred course of action.

Minimum Experience:

• 5+ years’ of clinical case management experience; or any combination of education and experience, which would provide an equivalent background.

Education / Licensure:

• Current unrestricted RN or LVN license needed. 

Other:

• Medicare knowledge

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.
• 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.
• 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.

City: Orange

State: California

Location City: Orange

Location State: California

Community / Marketing Title: Home Monitoring Case Manager (Temporary - Part Time)

Company Profile:

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.

EEO Employer Verbiage:

 

Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*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 [email protected].