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Curana Health

Value-based senior healthcare with on-site care

Care Ally, Case Manager - RN/LPN/Social Worker

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeDeRidder, LA, USA$70k - $85k

About the Job

Requirements

  • One year of clinical practice experience in case management, home health, critical care, medical/surgical care, discharge planning, or concurrent review.
  • Proficiency with Microsoft Word, Excel, and Outlook, basic computer skills, navigation of multiple systems, and keyboarding.
  • Access to reliable transportation and comfort traveling to assigned facilities an average of two to three days per week.
  • An active, unrestricted RN or LPN license in the state where duties are performed, or a Bachelor’s degree in social work.

Responsibilities

  • Execute strategies and goals set by the Align Senior Care Board of Directors, Senior Leadership Team, and Executive Director to manage and improve the overall member experience.
  • Contact plan members to conduct comprehensive health assessments, develop care plans, and participate in facility interdisciplinary care team meetings.
  • Educate members, families, and caregivers about disease status and treatment, plan benefits, community resources, and resource options as a health coach.
  • Collaborate with interdisciplinary care team members and medical directors to facilitate appropriate member treatment.
  • Follow up with members as scheduled to assess progress toward goals.
  • Communicate with members and caregivers to develop health goals and identify interventions to achieve them.
  • Provide patient-centered interventions, including making and verifying appointments and conducting medication and care compliance initiatives.
  • Support members and their responsible parties or powers of attorney to ensure member needs are met, connecting them with their communities, care teams, and internal departments.
  • Engage members and responsible parties or powers of attorney in person or by phone to explain and assist with plan benefits, check upcoming specialist appointments, connect members with supplemental benefits and providers, identify immediate needs, and answer questions.
  • Communicate member health updates from the care team to responsible parties or powers of attorney.
  • Coordinate with the care team on non-urgent health or clinical questions.
  • Work with internal departments to resolve member grievances and utilization-management and billing issues.
  • Update member and responsible-party contact information, including changes to address, email, or phone number.
  • Support the account manager in identifying and securing contracts with preferred providers.
  • Help members, responsible parties, and partner communities locate in-network providers and schedule or facilitate appointments.
  • Coordinate home health and therapy visits, durable medical equipment orders, and use of supplemental member benefits when requested by the member or advance plan provider.
  • Monitor and, when needed, facilitate care team meetings involving facility staff, members, responsible parties, and the advance plan provider or clinical team.
  • Document care team meetings and transmit documentation to the plan.
  • Monitor care plan updates, facilitate advance plan provider and primary care provider input, and distribute care plans to care team members as needed.
  • Monitor midnight reports and community census to identify member transitions to a hospital or other level of care.

Desired Qualifications

  • Case management certification.
  • Long-term care or nursing facility experience.
  • A Master of Social Work degree and social-work licensure.

About the Company

Curana Health

Value-based senior healthcare with on-site care

Curana Health provides senior-living focused healthcare through an integrated model that combines on-site medical services, value-based Medicare Advantage plans, and a value-based ACO program. Its medical group, with over 1,000 clinicians across 34 states, delivers on-site primary care, post-acute care, and specialty services in senior communities, billing these services to residents’ health insurance. The AllyAlign Health MA plans (I-SNPs and D-SNPs) add benefits such as dental, vision, hearing, and transportation, usually at no extra premium, enabling partner facilities to participate in value-based care. The Curana Health ACO participates in MSSP and ACO REACH, allowing facilities not in MA plans to benefit from coordinated care and shared savings, with the goal of reducing hospital readmissions, polypharmacy, and costs while improving outcomes.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Austin, TX
Founded
2022

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