Remote RN / LVN Nurse Health Specialist (Must have California Licensure)

About the position

Alignment Health is seeking a remote LVN or RN nurse health specialist, licensed in California, with experience in intensive care unit (ICU), emergency room (ER), and/or medical-surgical (Med-Surg) settings. This role involves providing triaging services for patients who contact the Alignment Health virtual care center. As a nurse health specialist, you will be responsible for escalating patient calls to advanced practice clinicians (APC) and managing patient care and treatment in collaboration with physicians and nurse practitioners (NP) or physician assistants (PA). The ideal candidate is passionate about delivering compassionate care and making a positive impact on the lives of seniors. The position requires flexibility in scheduling, with options available for various shifts, including weekends and holidays, as the team operates 24/7. Candidates must be willing to work one of the specified schedules, which include a combination of days, evenings, and overnight shifts. The role is critical in ensuring that patients receive timely and appropriate care, and it involves a range of responsibilities from answering inbound calls to conducting follow-ups and collaborating with healthcare professionals to develop care plans for patients. In this position, you will utilize your clinical judgment to address patient concerns, perform daily reviews of patient vitals, support disease management referrals, and educate members on various health topics. You will also be expected to interpret and evaluate diagnostic tests to assess patients' clinical problems and healthcare needs, ensuring that all interactions are documented accurately in electronic medical records (EMR).

Responsibilities
• Answer all inbound calls to the virtual care center.
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• Use clinical judgement to address patient concerns.
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• Collaborate with primary care physician (PCP), extensivists, and NP/PA, and case manager to develop care plans for members for non-Care Anywhere patients.
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• Conduct outbound calls and virtual visits to complete patient follow-up.
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• Perform daily review of vitals for patients enrolled in remote patient monitoring program.
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• Support disease management referrals.
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• Interpret and evaluate diagnostic tests to identify and assess patients' clinical problems and health care needs.
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• Educate members on topics such as disease process, end-of-life, medication, and compliance.
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• Discuss cases with physician/NP/PA when appropriate.
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• Use electronic medical records.

Requirements
• Minimum 1 year LVN or RN experience in intensive care unit (ICU), emergency room (ER), and/or medical-surgical (Med-Surg) required.
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• Must have completed an accredited Nursing Program; BSN preferred.
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• Current, unrestricted LVN or RN license in California required.
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• Current, unrestricted LVN or RN licensure in Nevada highly preferred.
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• Current, unrestricted compact LVN or RN licensure (Arizona, Florida, North Carolina, Texas) highly preferred.
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• Must have CPR certification.
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• Knowledge of clinical standards of care.
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• Experience in gerontology, adult care, highly preferred.
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• Experience in palliative/hospice and complex care management, highly preferred.
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• Experience in home health including wound care, highly preferred.
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• Knowledge of Medicare Managed Care Plans, preferred.
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• Excellent administrative, organizational, and verbal skills.
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• Effective communication skills with seniors.
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• Computer proficient and comfortable with navigating the internet.
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• Self-motivated with ability to work independently.
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• Detail oriented.
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• Dependable and reliable.
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• EMR experience is highly preferred.
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• Bilingual English and Spanish preferred.

Nice-to-haves
• Current, unrestricted LVN or RN licensure in Nevada.
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• Current, unrestricted compact LVN or RN licensure (Arizona, Florida, North Carolina, Texas).
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• Experience in gerontology, adult care.
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• Experience in palliative/hospice and complex care management.
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• Experience in home health including wound care.
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• Knowledge of Medicare Managed Care Plans.
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• Bilingual English and Spanish.

Benefits

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