Insurance Nurse Jobs in Raleigh, NC (NOW HIRING)

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

• Job Description Summary

As a leader in the care of older adults, we are seeking an Advanced Practice Provider (Nurse Practitioner or Physician Assistant) who enjoys managing complex patients in a collaborative, highly coordinated home-based setting. The provider will work closely with physicians, advanced practice providers, social workers, case managers, nutritionists, and other members of our health care team, as well as participate in multidisciplinary conferences that focus on the most high-risk members. He/she will have access to advanced technology, including an innovative, patient-friendly home monitoring system, EMR, and a proprietary decision support tool that synthesizes data from a variety of sources into actionable alerts that drive care.

• Posting Job Description

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

• • Conduct hospital based assessments and be able to review and create treatment plans for high care needs members.
  • Collaborate routinely with market MD to identify critically ill members.
  • Conduct in-home assessments (with some outpatient clinical work) on health plan members.
  • In-Home Assessments will include obtaining comprehensive history, physical exam, medication review, and appropriate cognitive/depression/safety screenings.
  • Comfort with End-of-life care discussions imperative.
  • Laboratory specimen collection in the home setting when appropriate.
  • Identify diagnoses to be used in active medical management and care management of patients with focus on chronic disease management.
  • Communicate findings of the patient assessment to inform the PCP of potential gaps in care.
  • Provide patient/family/caretaker education, with an emphasis on close monitoring and follow up of patient needs.
  • Emphasis on knowledge of appropriate community resources for referral.
  • Comply with all HIPAA regulations and maintain security of protected health information (PHI).

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:

Computer literacy/EMR proficiency

At least one (1) year prior clinical experience

Education/Licensure:

Active North Carolina state license as a Nurse Practitioner/Physician Assistant

Active Nurse Practitioner/Physician Assistant Board Certification

Medicare Part D Prescriber

Valid NC driver license and current automobile insurance

NP (Nurse Practitioner):

Active RN License (Must, upon hire)

Active NP License (Must, upon hire)

Furnishing number (Must, upon hire)

NPI Number (Must, upon start)

DEA Number (Must, within 6 months of start)

Board Certification: AANP, ANCC (Must, within 6 months of start)

Valid BLS (Basic Life Support) (Must, upon start)

Valid ACLS (Advanced Cardiovascular Life Support (Preferred)

PA (Physician Assistant):

Active PA License (Must, upon hire)

NPI Number (Must, upon start)

DEA Number (Must, within 6 months of start)

Board Certification: NCCPA (Must, within 6 months of start)

Valid BLS (Basic Life Support) (Must, upon start)

Valid ACLS (Advanced Cardiovascular Life Support (Preferred)

Other:

Knowledge of current clinical standards of care

Ability to work independently

Experience in care of older adult (geriatric) patients preferred

Home care experience preferred

Excellent administrative, organizational, and verbal skills preferred

Effective communication skills especially with older adults preferred

Previous EPIC experience preferred but not required preferred

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. 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 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.

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

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 athttps://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 emailcareers@ahcusa.com.