Job Number: 5699

Position Title: Nurse Health Specialist

External Description

Position Summary:

The Alignment Virtual Care Center is a collaborative approach to providing patients telehealth services 24 hours a day, 7 days a week. It is intended to provide support for Alignment Healthcare patients by being available to address any concern at any time. This program provides patients with medical and social support through virtual visit when they need it, with the goal of preventing unnecessary hospitalizations, health complications, and unmanaged disease progression that can occur when timely clinical interventions are not provided or are not accessible. The virtual care center program is offered to eligible patients at no cost to them.

In this role, the Nurse Health Specialist provides triaging service for patients who call into the virtual care center. Expected to escalate patient calls to Advanced Practice Clinician (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.

Supervisory Responsibilities

N/A

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.

Minimum Experience

Knowledge of clinical standards of care
Minimum 1- year experience as an RN

Education/Licensure

Requires successful completion of an accredited Nursing Program; BSN preferred, Registered Nurse, required
Current, unrestricted license for California, Nevada, and North Carolina
Must have CPR certification

Other

Experience in gerontology, adult care, preferred
Experience in palliative/hospice and complex care management, preferred
Experience in Home Health including wound care, preferred
Knowledge of Medicare Managed Care Plans, preferred
Excellent administrative, organizational and verbal skills
Effective communication skills with seniors
Computer literate and able to navigate the internet
Ability to work independently
Detail oriented
Dependable and reliable
EMR experience is strongly preferred
Bilingual skills valued (Spanish preferred)
Must be flexible with schedule as position is active 24 hours 7 days a week This includes alternative shifts such as day, evening, or overnight, weekends, and holiday coverage. Shifts can be scheduled over 8 or 10 hours.

Work Environment

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.

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.
Specific vision abilities required by this job include close vision and the ability to adjust focus.

City: Remote-US

State: California

Location City: Remote-US

Location State: California

Community / Marketing Title: Nurse Health Specialist, Virtual Care Center (100% remote)

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].

Alignment Health

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Nurse Health Specialist, Virtual Care Center (100% remote)