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Astrana Health Inc.
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  • Care Manager - RN (ACM)  

    - Houston
    Job DescriptionJob DescriptionDescriptionWe are looking for a compassi... Read More
    Job DescriptionJob DescriptionDescriptionWe are looking for a compassionate and experienced Care Manager - RN to join our Houston team. In this role, you will provide comprehensive care management and coordination for members across the continuum of care, partnering with providers, interdisciplinary teams, and community resources to improve clinical outcomes, enhance quality of care, and support members with complex medical, behavioral, and psychosocial needs.

    Our Values: Put Patients FirstEmpower Entrepreneurial Provider and Care TeamsOperate with Integrity & ExcellenceBe InnovativeWork As One Team
    What You'll DoCare Management & Coordination Conduct comprehensive health assessments, including medical, behavioral, and social determinants of health (SDOH). Develop, implement, and evaluate individualized care plans based on member needs, goals, and risk level. Coordinate care across multiple settings, including inpatient, outpatient, and community-based services. Facilitate transitions of care, including hospital discharge planning and post-discharge follow-up. Clinical Oversight Utilize clinical expertise to identify gaps in care, potential risks, and opportunities for early intervention. Monitor member progress and adjust care plans accordingly. Provide education to members and caregivers regarding disease management, medications, and treatment plans. Apply evidence-based guidelines and best practices in care management. Utilization Management & Cost Containment Support appropriate utilization of healthcare services to ensure cost-effective care delivery.Collaborate with utilization management teams to reduce avoidable hospitalizations and emergency department visits. Identify high-risk members and implement strategies to improve outcomes and reduce healthcare costs. Collaboration & Communication Partner with physicians, specialists, behavioral health providers, and community agencies to coordinate care. Serve as a liaison between members, providers, and health plan resources. Participate in interdisciplinary team meetings and case conferences. Maintain effective communication to ensure continuity of care. Quality & Compliance Ensure timely and accurate documentation in accordance with regulatory, CMS, and organizational requirements. Support quality improvement initiatives, including HEDIS, STAR ratings, and other performance measures. Maintain compliance with accreditation standards and internal policies. Member Engagement Conduct outreach to engage members in care management programs.Promote self-management and adherence to treatment plans. Address barriers to care, including social, economic, and cultural factors. 
    QualificationsBachelor of Science in Nursing (BSN) preferred; Associate degree in Nursing requiredTexas RN unrestricted active licenseAt least 2 years of clinical nursing experience (case management, acute care, medical group, health plan, or managed care preferred)Certifications & Licensure Active, unrestricted Registered Nurse (RN) licenseStrong clinical background must be familiar with developing care plans and assessmentsExperience with Microsoft Office WordUnderstanding of regulatory standards (CMS, NCQA, etc.). Ability to assess and manage complex clinical and psychosocial situationsExcellent communication, collaboration, and critical-thinking skillsProficiency in electronic health records (EHR) and care management documentation systemsAbility to manage multiple priorities in a fast-paced environmentYou'll be a great for the role if:Able to work independently and make independent decisionsAbility to work prioritize and multi-taskExcellent written and verbal communication skillsMaintain courteous professional attitude when working with internal and external customersMaintains member confidence and protects operations by keeping claim information confidential in compliance with HIPAA requirements
    Environmental Job Requirements and Working ConditionsThis role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. The office is located at 19500 HWY 249, Suite 570 Houston, TX 77070.This position requires up occasional travel for onsite visits or team meetings.The target pay range for this role is between $80,000 - $94,000 annually. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.

    Additional Information:
    The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.  Read Less
  • Billing Clerk (Part Time)  

    - Alhambra
    Job DescriptionJob DescriptionDescriptionWe are looking for a detail-o... Read More
    Job DescriptionJob DescriptionDescriptionWe are looking for a detail-oriented Part-Time Billing Clerk to support the revenue cycle and financial operations of the Advanced Diagnostic & Surgical Center. In this role, you will be responsible for billing, coding support, payment processing, account follow-up, and reporting to help ensure accurate and timely reimbursement while maintaining compliance with regulatory and organizational standards.

    Our Values: Put Patients FirstEmpower Entrepreneurial Provider and Care TeamsOperate with Integrity & ExcellenceBe InnovativeWork As One Team
    What You'll DoPerform daily billing, including primary, secondary, workers’ compensation, and self-pay claimsMaintain CMS crossover processes and ensure accurate claim submissionApply appropriate ICD-9 and CPT/ASC coding for billed servicesPrepare patient accounts for billing and follow up to obtain missing or required informationPost payments, adjustments, and denials accurately on a daily basisReview EOBs and initiate timely follow-up on unpaid or denied claimsContact patients regarding co-pays, deductibles, and outstanding balances; issue monthly statementsPrepare and reconcile daily deposits; maintain copies of checks, EOBs, and transaction recordsRun daily transaction reports and support month-end close and reporting activitiesRespond to patient and payer inquiries in a professional and timely mannerMaintain organized filing of billing records, EOBs, and related documentationPerform miscellaneous duties as assigned by manager
    QualificationsHigh school diploma or equivalentAt least 2 years of medical billing experience in a healthcare settingKnowledge of ICD-9, CPT coding, and medical terminologyWorking knowledge of computers and billing systemsStrong attention to detail, organization, and prioritization skillsAbility to communicate professionally with patients, payers, and internal stakeholdersPreferred:Experience in an ASC, diagnostic, or outpatient environmentFamiliarity with EHR and practice management systemsKnowledge of Medicare, Medi-Cal, and commercial payer requirements
    Environmental Job Requirements and Working ConditionsOur organization follows an in-person work structure where the expectation is to work onsite on a daily basis. The office location is 1668 S Garfield Ave #100, Alhambra, CA 91801.The total compensation target pay range for this role is $22.00 - $23.00 per hour. The salary range represents our national target range for this role. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
     
    Additional Information:
    The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. Read Less
  • Sr. Software Engineer  

    - Monterey Park
    Job DescriptionJob DescriptionDescriptionWe are currently seeking a hi... Read More
    Job DescriptionJob DescriptionDescriptionWe are currently seeking a highly motivated Staff Software Engineer to deliver best-in-class technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient. With over a million managed lives across the country and terabytes of data generated, our software and applications need to be cutting-edge, efficient, and aligned with our core values of improving patient outcomes and empowering our providers.

    Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team Why this role - and why Astrana  
    Healthcare is nearly 20% of U.S. GDP, yet remains fragmented, inefficient, and misaligned.  
    Astrana is building a new category: a technology-driven healthcare platform that sits across payers, providers, and care delivery - integrating clinical, claims, and operational data and enabling decisions based on total patient outcomes, not isolated transactions. Astrana is building the operating layer for healthcare delivery.  
    This is not a concept. It is already working. Astrana today: $3.2B in revenue in 2025, growing 56% year-over-year  1.6M+ patients under management across a national platformWhy do this here vs somewhere else: You are early, despite meaningful scale The platform is already large and growing quickly, but this capability is still being built - giving you outsized influence and career opportunity You can actually change the system, not just analyze it  Astrana operates under delegated risk, with real responsibility for cost and outcomes - so what you build can directly influence decisions and behavior.  There is immediate, real-world deployment at scale  You are not building pilots or internal tools that may or may not be adopted. You are building into workflows used across a large and growing population.  The incentives are aligned with the problem  Improving outcomes while reducing cost is the business model - making AI, automation, and coordination economically meaningful from day one.  You have executive backing and speed  AI is a core priority with direct CEO sponsorship, enabling fast iteration from idea to production.  You are surrounded by strong builders  Our team includes engineers and operators from leading tech companies (Google, Amazon, etc), top quantitative firms (Citadel, D.E. Shaw), and strong academic backgrounds.  
    What You'll DoDesign, test, deploy, improve, and maintain software that will be used internally at Astrana Health, and externally by physicians and patients  Work cross-functionally with an agile team including Product, UX/Design, Engineers, and QA to execute mission-critical projects  Suggest and drive improvement on all parts of the stack and internal development processes  Manage project requirements, priorities, and deliverable timelines effectively  Help mentor, coach, and develop junior members of our development team  Technology Stack: Python, React, Javascript, SQL  
    QualificationsBachelor’s degree in Computer Science or related, or related experience.  8+ years relevant professional experience in software development  Experience building APIs and automation using modern backend technologies at scale  Experience in some of the following: full-stack web application development, developing and designing large software systems, web scraping and other automation scripting, ETL and data pipelines, data science, machine learning  Architecting, developing, and supporting applications and services  Can create template projects for other engineers to follow/use  Can lead the team in technical aspects  Assist in providing long-term vision for the engineering team as well as leadership of the team  Strong Knowledge of front-end technology such as React.js/Redux.  Strong knowledge of databases and ability to write complex and mission-critical SQL queries  Advanced proficiency with OOP languages such as Python  Strong general problem-solving and logical reasoning ability  
    You're great for this role if:  Further education or experience in computer science, engineering, or related fields  Experience with DevOps: CI/CD, containerization, deployment, orchestration, and related (such as Git, Docker, Kubernetes.)  Designing/developing web, software, prototypes, or proofs of concepts (POCs.)  
    Environmental Job Requirements and Working ConditionsOur organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754.The total compensation target pay range for this role is: $180,000.00 - $210,000.00. The salary range represents our national target range for this role.  
    Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.  

    Additional Information:  The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.  Read Less
  • Lead Medical Assistant - Bilingual Preferred  

    - Las Vegas
    Job DescriptionJob DescriptionDescriptionAbout the RoleWe are currentl... Read More
    Job DescriptionJob DescriptionDescriptionAbout the Role

    We are currently seeking a highly motivated Medical Assistant to assist our medical providers. The Medical Assistant is responsible for providing administrative support to ensure efficient operation of the medical clinic. The position supports both providers and patients through a variety of tasks related to patient care management, organization, and communication. This role will report to our Regional Clinic Manager and enable us to continue to scale in the healthcare industry.

    Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team
    What You'll DoAssists physicians, nurses, and other medical staff by performing administrative and clinical duties under the direction of a provider Administrative duties may include scheduling appointments, maintaining medical records Clinical duties may include, such as preparing a treatment room for patient exams, recording patient medical history, and cleaning and sterilizing medical equipment Escort patients to exam rooms, interview patients, measure vital signs, including weight, blood pressure, pulse, temperature, and document all information in the patient's chart Interviews patients to obtain their medical history Records patient medical history, vital statistics, and test results in patient medical files Must be detail oriented and possess strong organizational skills in a fast-paced environment Good verbal and written communication skills Be able to prioritize workload while remaining flexible May be required to work overtime to meet tight deadlines Additional duties as assigned
    QualificationsAt least 3 years experience as a Medical Assistant in a fast paced clinical environmentCompletion of an accredited Medical Assistant programFront office experience in a fast paced clinical environmentDisplay knowledge of medical terminology Possess excellent customer service skills Maintain a high level of professionalism Proficient in MS Office and patient management software Previous experience in phlebotomy or laboratory work preferred 
    Environmental Job Requirements and Working ConditionsThis is an onsite position located at 2810 W Charleston Blvd, Suite E48, Las Vegas, NV 89102The total compensation target range for this role is: $21- $25 per hour. The salary range represents our national target range for this role.Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a  disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. Read Less
  • Job DescriptionJob DescriptionDescriptionAstrana Health is seeking a p... Read More
    Job DescriptionJob DescriptionDescriptionAstrana Health is seeking a primary care Physician Assistant or Nurse Practitioner to join our care team in Vegas! We value providing culturally sensitive, quality care to the community. Join us on our mission to provide higher quality care at lower costs to patients!

    Valley Oaks Medical Group is now Astrana Care of Nevada.

    At Valley Oaks, we strive to redefine the way healthcare is administered through community driven preventative care and proactive treatment. By centering care around the patient, we can improve health and wellbeing instead of treating symptoms. Our passionate providers prioritize the wellness of each of our patients with the necessary tools and resources to improve the quality of life for all of our patients. 

    Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team
    What You'll DoDiagnose and treat common acute and chronic illnesses, interpreting test results as necessaryCollaborate with the patient and the patient's family as needed to create and execute treatment plans and ensure proper coordination of care to optimize patient’s health progressRefer to specialists when appropriatePerform routine health screenings, health maintenance care, annual exams, and work with our quality and coding department for templates and processes.Provide appropriate education, feedback and assessment of care to ensure the safety of patients and their familiesOther duties as assigned
    QualificationsActive and unrestricted Nevada Physician's Assistant or Nurse Practitioner License At least one year of experience working as a Physician's Assistant or Nurse Practitioner preferredBLS, NV DEA certification prior to start dateProficiency in EMRsYou're great for this role if you have: At least 2 years of experience working as a Physician's Assistant/Nurse PractitionerInternal Medicine, Primary Care or Family Medicine experience Bilingual Spanish
    Environmental Job Requirements and Working ConditionsWe are seeking NPs/PAs for our Stonecreek clinic location.This is a full-time position. Hours are M-F 8 A - 5 P.The national target pay range for this role is $110,000-140,000 base salary with additional annual bonus structure. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.Additional Information:      
    Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request accommodation.     
          
    The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. 
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  • Health Navigator I (Chinese Speaking)  

    - Monterey Park
    Job DescriptionJob DescriptionDescriptionHealth Navigator I helps to d... Read More
    Job DescriptionJob DescriptionDescriptionHealth Navigator I helps to drive increased engagement and member adherence for key quality program measures. This includes managing multi-modal forms of communication including phone, sms, email and portal. This role collaborates with other teams within the organization to deliver care to members in a coordinated and streamlined manner. This role may also interface with providers, health plans and other partners on an as needed basis. 
    What You'll DoConduct outreach to members with specified clinical gaps to help coordinate care and gap closure activities Schedule appointments for patients with the internal team and/or external provider offices Manage work through multiple portals required to access all relevant patient data Conduct outreach to provider offices in efforts to help patients schedule appointments, relay relevant health information, or obtain medical records Manage sms and email queues as assigned for incoming and outgoing patient communication Able to communicate with members in a language with or without the use of translation services Manage basic office functions such as faxing, voicemail, and mailAble to accurately enter patient data into relevant platforms and document outcomes in a clear and concise manner Able to educate patients on basic healthcare terminology and topics Pre-visit prep: assist with confirmation calls, rescheduling, and chart prep Post-visit work: assist in closing out any visit orders, such as referrals, faxing of notes, sending lab referrals, etc Assist patients in completing health questionnaires and documenting responses within EMR and/or designated platformMaintain all patient data in compliance with the organization’s PHI practices and following Health Insurance Portability and Accountability Act (HIPAA) standards Other duties as assigned 
    QualificationsHigh school diploma or GEDMedical Assistant certification and/or minimum 2+ years medical office experience highly preferred Intermediate skill level in Microsoft Office, including Outlook, Word, and Excel Bilingual – Cantonese, or MandarinYou're great for the role if:Have an Associate's Degree or higher Electronic medical record and/or practice management system experienceCustomer service / call center/sales experience 
    Environmental Job Requirements and Working ConditionsOur organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 568 W. Garvey Ave, Monterey Park, CA 91754.The total compensation target pay range for this role is: $20.00 - $26.00 per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
    Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
    Additional Information:The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. Read Less
  • Pharmacy Resident  

    - Brea
    Job DescriptionJob DescriptionDescription• Provide clinical functions... Read More
    Job DescriptionJob DescriptionDescription• Provide clinical functions performed by pharmacists. • Call patients and providers for medication related inquiries. Process and dispense medications, verification, and consultation for new and existing patients. • Assist pharmacist-in-charge in monitoring the workflow and reaching the pharmacy metrics goals. • Perform authorization, eligibility, and billing tasks. • Work with the director of the pharmacy in completing compliance related tasks. • Develop educational materials for members and providers as requested. • Assist in new and existing contracts as needed. • Other projects as needed
    Key Responsibilities
     The Pharmacy Resident participates in a one-year residency program focused on specialty pharmacy operations, clinical pharmacy services, compliance, and patient care support. Key responsibilities include processing and dispensing medications, supporting therapy and medication management, completing compliance-related activities, developing educational materials for members and providers, providing consultation support to patients and healthcare providers, verifying eligibility and authorizations, and preparing drug reviews or clinical presentations for the pharmacy team as needed.


    Skills, Knowledge & Expertise
    Education:PharmD degree from an accredited school of pharmacy- RequiredExperience:Prior pharmacy practice experience, specialty pharmacy exposure, managed care experience, or completion of advanced pharmacy practice experiences (APPE) in relevant practice settings is preferred.

    License/Certifications:

    ·        Active pharmacist license or eligibility for pharmacist licensure in California. The resident must obtain pharmacist licensure from the California State Board of Pharmacy within 90 days of the program start date.

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  • UM Coordinator - Remote  

    - Monterey Park
    Job DescriptionJob DescriptionDescriptionAstrana Health is seeking a d... Read More
    Job DescriptionJob DescriptionDescriptionAstrana Health is seeking a dedicated California-based Utilization Management (UM) Coordinator to support the UM department in reviewing, monitoring, and processing prior authorization requests while ensuring compliance with regulatory standards and health plan guidelines. The UM Coordinator will serve as a key liaison between providers, members, and internal clinical staff, delivering excellent customer service and ensuring accurate documentation and timely processing of referrals. This role is responsible for coordinating and documenting medical review activities to confirm that services meet established criteria for medical necessity, appropriateness, and efficiency, while facilitating clear and timely communication across all stakeholders. 

    Our Values: Put Patients FirstEmpower Entrepreneurial Provider and Care TeamsOperate with Integrity & ExcellenceBe InnovativeWork As One Team 
    What You'll DoComply with UM policies and procedures. Annual review of selected UM policies.Read and understand NMM UM Customer Service Policy and ProceduresProcess Routine & Urgent treatment authorization requests according to the NMM Policy & Procedure Manual based on UM Level 1 review process.Assist with attaching incoming notes to appropriate authorizationsMove referrals coming back from eligibility and or benefits to the correct queue for reviewAccurately review, screen and process daily assigned UM referrals (avg 150-250) in accordance with IPA and health plan TAT guidelinesResponsible for verification to include but not limited to: benefit matrix through DOFR, eligibility, provider status (contracted/non-contracted), carved out and others.Contact providers office as needed for clarification, notes or redirectionsVerify that facilities are contracted and or a CMS approved facility when required.Attend to provider and interdepartmental calls in accordance with exceptional customer serviceReports to UM Lead 3 on activities or problems occurring throughout the day.Maintains strictest confidentiality at all times.Maintain good relationships with health plans and medical directors and external contacts.Team skills, assist others as needed in order to comply with TAT.Other duties as assigned 
    QualificationsHigh School Graduate, Bachelor's in Healthcare Administration is a plus At least two years experienced in managed care environment to include but not limited to an IPA or MSO preferredKnowledge of medical terminology, RVS, CPT, HPCS, ICD-9 codesProficient with Microsoft applications, EZCAP preferred Good organizational skills, verbal and written communication skillsAbility to multitask and problem solve in a fast pace work environmentPunctuality and detail-oriented Ability to follow directions and perform work independently according to department standardsMust be a strong team player and have excellent attendance record
    Environmental Job Requirements and Working ConditionsThis is a remote position. The home office is aligned at 1600 Corporate Center Drive in Monterey Park, California. Candidates within a 35 mile radius of the office may be required to work on a hybrid schedule out of the office.This position requires open availability between M-Su, 8 A - 8 P. You would be scheduled for 5 shifts a week, weekends and holidays are rotated amongst the team, and there is overtime in this position!The national target pay range for this role is $21.00 - $24.00 per hour. Actual compensation will be based on geographic location (current or future), experience, and other job-related factors. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
    Additional Information:
    The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
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  • Case Manager (LVN or RN)  

    - Monterey Park
    Job DescriptionJob DescriptionDescriptionAstrana Health is looking for... Read More
    Job DescriptionJob DescriptionDescriptionAstrana Health is looking for a RN/LVN Case Manager who has the ability to commute to our Monterey Park office at 1600 Corporate Center Drive. This position works standard day hours M-F, and we are willing to train RN or LVN with no case management experience! You will have the ability to work with pediatrics and/or adult populations depending on business need. 
    What You'll DoComply with Case Management Department’s policies and procedures 95 - 100% compliance with Utilization Management health plan delegation standards for Case Management Utilize Milliman Care Guidelines criteria for appropriateness of transition to care by level of skilled needs and acute rehab for post discharge plan Collaborating with Hospitalists, case managers, and discharge planners to establish discharge plans at time of admission Responsible for coordinating the required initial and concurrent reviews based on the review of medical records received and daily accurate reporting of all inpatient admissions to Medical Director and Manager and/ or Supervisor of Case Management Department Review of medical records and/or other documentation to determine medical necessity, appropriateness and level of care utilizing Milliman Care and other appropriate GuidelinesAssess, plan, implement, coordinate, monitor, and evaluate all options and services with the goal of reducing hospital readmission Attends/coordinates Case Management meetings on and off-site as necessary Interacts with the providers or members as appropriate to communicate determination outcomes in compliance with state, federal and accreditation requirements Attend to provider and interdepartmental calls in accordance with exceptional customer service Maintain good relationships with health plans, hospitals and medical directors. Resolve problems that arise with any IPA medical directors Report to Manager and/or Supervisor of Case Management on activities and/or problems occurring throughout the day Available for Hospital on site Case Management Field work throughout the week, visiting hospitals and engaging with members who are admitted to the hospitals.Other duties as assigned
    QualificationsActive Registered Nurse (RN) license in California OR active Licensed Vocational Nurse (LVN) license in CaliforniaExperience using Microsoft applications such as Word, Excel and OutlookAt least two (2) years of clinical experience as an RN/LVN You're great for this role if:Excellent analytical critical reasoning Proven ability to prioritize multiple responsibilities simultaneously in a fast-paced, changing environment while meeting deadlines Ability to educate and train staff members and other departments as needed Experience using EZCAP Strong communication and customer service skills 
    Environmental Job Requirements and Working ConditionsOur organization follows a hybrid work structure where the expectation is to work both onsite and at home on a weekly basis. The home office is located at 1600 Corporate Center Dr, Monterey Park, CA 91754.This role will require visiting patients in our partnered hospitals 2-3 times a week. The national target pay range for this role is between $31.00 - $45.00 (LVN - $31.00-38.00; RN - $39.00-45.00) per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.        Additional Information:     The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
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  • Case Manager (LVN or RN)  

    - Monterey Park
    Job DescriptionJob DescriptionDescriptionAstrana Health is looking for... Read More
    Job DescriptionJob DescriptionDescriptionAstrana Health is looking for a LVN Case Manager who has the ability to commute to our Monterey Park office at 1600 Corporate Center Drive. This position works standard day hours M-F, and we are willing to train a RN or LVN with no case management experience! You will have the ability to work with pediatrics and/or adult populations depending on business need. 
    What You'll DoComply with Case Management Department’s policies and procedures 95 - 100% compliance with Utilization Management health plan delegation standards for Case Management Utilize Milliman Care Guidelines criteria for appropriateness of transition to care by level of skilled needs and acute rehab for post discharge plan Collaborating with Hospitalists, case managers, and discharge planners to establish discharge plans at time of admission Responsible for coordinating the required initial and concurrent reviews based on the review of medical records received and daily accurate reporting of all inpatient admissions to Medical Director and Manager and/ or Supervisor of Case Management Department Review of medical records and/or other documentation to determine medical necessity, appropriateness and level of care utilizing Milliman Care and other appropriate GuidelinesAssess, plan, implement, coordinate, monitor, and evaluate all options and services with the goal of reducing hospital readmission • Attends/coordinates Case Management meetings on and off-site as necessary Interacts with the providers or members as appropriate to communicate determination outcomes in compliance with state, federal and accreditation requirements Attend to provider and interdepartmental calls in accordance with exceptional customer service Maintain good relationships with health plans, hospitals and medical directors. Resolve problems that arise with any IPA medical directors Report to Manager and/or Supervisor of Case Management on activities and/or problems occurring throughout the day Available for Hospital on site Case Management Other duties as assigned
    QualificationsActive Registered Nurse (RN) license in California OR active Licensed Vocational Nurse (LVN) license in CaliforniaExperience using Microsoft applications such as Word, Excel and OutlookAt least two (2) years of clinical experience as an RN/LVN You're great for this role if:Excellent analytical critical reasoning Proven ability to prioritize multiple responsibilities simultaneously in a fast-paced, changing environment while meeting deadlines Ability to educate and train staff members and other departments as needed Experience using EZCAP Strong communication and customer service skills 
    Environmental Job Requirements and Working ConditionsOur organization follows a hybrid work structure where the expectation is to work both onsite and at home on a weekly basis. The home office is located at 1600 Corporate Center Dr, Monterey Park, CA 91754.This role will require visiting patients in our partnered hospitals 2-3 times a week. The national target pay range for this role is between $31.00 - $45.00 (LVN - $31.00-38.00; RN - $39.00-45.00) per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditioos), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.        Additional Information:     The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. Read Less

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