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. The remote inpatient review nurse assists patients through the continuum of care in collaboration with the patient’s primary care physician, facility case manager, discharge planner and employing contracted ancillary service providers and community resources as needed. Assures that services are provided at the most appropriate, cost effective level of care needed to meet the patient’s medical needs while maintaining safety and quality. Schedule: Monday - Friday, 8:00 AM - 5:00 PM Pacific Time (Required) GENERAL DUTIES/RESPONSIBILITIES: 1. Performs reviews of inpatients with complex medical and social problems. 2. Generates referrals to contracted ancillary service providers and community agencies with the agreement of the patient’s primary care physician. 3. Performs follow-up reviews and evaluations of patients in the ambulatory care or lower level of care setting. 4. Reviews inpatient admissions timely and identifies appropriate level of care and continued stay based on acceptable evidence-based guidelines used by AHC. 5. Effectively communicates with patients, their families and or support systems, and collaborates with physicians and ancillary service providers to coordinate care activities. 6. Identifies Members who may need complex or chronic case management post discharge and warm handoff to appropriate staff for ambulatory follow up, as necessary. 7. Communicates and collaborates with IPA/MG as necessary for effective management of Members. 8. Assigns and provides daily oversight of the activities and tasks of the CCIP Coordinator. 9. Records communications in EZ-Cap and/or case management database. 10. Arranges and participates in multi-disciplinary patient care conferences or rounds. 11. Monitors, documents, and reports pertinent clinical criteria as established per UM policy and procedure. 12. Monitors for any over utilization or underutilization activities. 13. Generates referrals as appropriate to the QM department. 14. Enters data as necessary for the generation of reports related to case management. 15. Reports the progress of all open cases to the Medical Director, Director of Healthcare Services and Manager of Utilization Management. 16. Performs other duties as assigned. Minimum Requirements: Experience: • Required: Minimum 3 years of general case management skills. Minimum of two years of experience utilizing Milliman Care Guidelines to justify Inpatient versus Observation Length of stay: including review of diagnosis and length of stay. Two consecutive years related experience in a managed care setting as an inpatient case manager • Preferred: Experience with a Senior population. Education: • Required: Successful completion of an accredited Licensed Vocational Nursing Program • Preferred: Associates or Bachelors Degree Specialized Skills: • Required: - Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. - Excellent critical thinking skills related to nursing utilization review - Knowledge of Medicare Managed Care Plans - Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; - Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly - Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution. - Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. - Report Analysis Skills: Comprehend and analyze statistical reports. • Preferred: Knowledge and experience in complex/catastrophic case management preferred Licensure: Required: - Must have and maintain an active, valid, and unrestricted LVN or RN license in California (Non-Compact) - Immediately upon hire, must be willing to obtain LVN and / or RN licensure in Nevada, (Non-compact), Arizona (Compact), North Carolina (Compact), and Texas (Compact) which will be reimbursed by company. 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. The noise level in the work environment is usually moderate. 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. 1 While performing the duties of this job, the employee is regularly required to sit; use hands to finger, hand, or feel and talk or hear. 2 The employee is frequently required to reach with hands and arms 3 The employee is occasionally required to climb or balance and stoop, or kneel 4 The employee must occasionally lift and/or move up to 20 pounds. 5 Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. Pay Range: $77,905.00 - $116,858.00Pay 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 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 careers@ahcusa.com.

GoTo Telemed is seeking experienced, licensed Registered Dental Hygienists (RDH) to join our expanding teledentistry network. This is a flexible, 1099 independent contractor opportunity allowing you to deliver preventive dental care and patient education across multiple states using secure telehealth technology. We provide comprehensive support infrastructure including complete training, HIPAA-compliant digital platforms, insurance credentialing, billing services, supervising dentist network access, integrated EHR/EDI systems, professional liability insurance options, and an average of 200 network patients per month to ensure consistent patient volume and income potential. Position Type: 1099 Independent Contractor Work Schedule: Flexible – Set Your Own Hours Location: Remote (Multi-State, U.S.) Compensation Structure: Fee-for-Service Model Patient Volume: Approximately 200 average monthly network patients assigned Supervision Model: Licensed Dentist Available (Varies by State Regulations) Clinical Patient Care & Assessment - Conduct comprehensive teledentistry consultations with patients via secure, HIPAA-compliant video conferencing platform (GoTo Telemed) - Perform virtual patient assessments including review of dental history, current complaints, past dental treatment, medical history relevant to oral health, and medication review - Assess patient oral health status through synchronous (real-time video) and asynchronous (store-and-forward) teledentistry modalities - Collect and transmit digital intraoral and extraoral images, radiographs, and clinical data to supervising dentist via secure platform - Provide professional oral health assessments, screening for dental pathology, and identification of treatment needs - Screen for early signs of dental caries, periodontal disease, oral cancer, and other pathological conditions - Document all clinical assessments, findings, and recommendations in integrated Electronic Health Record (EHR) system - Develop and implement individualized treatment recommendations within RDH scope of practice - Educate patients on oral hygiene techniques, preventive care strategies, and disease management protocols Preventive Care & Patient Education - Provide comprehensive dental hygiene education addressing oral health maintenance, disease prevention, and treatment protocols - Educate patients on proper brushing and flossing techniques using evidence-based methodologies - Provide nutritional counseling related to oral health and dietary impact on dental disease - Counsel patients on tobacco cessation, alcohol use reduction, and other lifestyle modifications affecting oral health - Provide guidance on at-home fluoride varnish applications, antimicrobial rinses, and other preventive treatments (as permitted by state scope) - Develop patient-specific home care instructions adapted for teledentistry delivery - Support pain management strategies and post-operative guidance following dental procedures - Conduct pre- and post-operative consultations with patients undergoing dental treatment - Provide oral health instruction to patients with special needs, including pediatric, geriatric, and medically complex populations - Create and share educational materials addressing common dental conditions, prevention strategies, and treatment options Collaboration with Supervising Dentist - Maintain regular, professional communication with assigned supervising dentist(s) through secure messaging, phone consultation, or videoconference - Transmit comprehensive patient assessment data, digital images, radiographs, and clinical findings to supervising dentist for diagnosis and treatment planning - Obtain supervising dentist approval for treatment recommendations before communicating final plans to patients - Seek consultation from supervising dentist regarding complex cases, medically compromised patients, or findings outside standard assessment protocols - Comply with all state-specific supervision requirements including chart review, treatment plan approval, and documentation standards - Ensure all teledentistry patient encounters comply with supervising dentist-approved protocols and clinical guidelines - Document all consultations with supervising dentist including date, time, nature of consultation, and clinical decisions made - Maintain professional relationship with supervising dentist through regular case discussions, quality review, and continuous improvement feedback Interprofessional Collaboration with Medical Practitioners - Participate in interprofessional care coordination between teledentistry and medical practitioners when indicated - Identify and communicate oral-systemic health connections relevant to patients' medical conditions (diabetes, hypertension, cardiovascular disease, etc.) - Coordinate care with physicians, nurse practitioners, and other medical professionals when oral health impacts medical management - Utilize integrated electronic health records for seamless information sharing with medical team members - Refer patients to medical practitioners when dental findings suggest need for medical evaluation or follow-up - Receive referrals from medical practitioners for dental evaluation of conditions with oral-systemic implications - Participate in interdisciplinary case conferences regarding complex patient presentations - Maintain awareness of patients' medical conditions, medications, and medical history impacting dental care planning - Support chronic disease management through oral health interventions and patient education Digital Platform & Technology Proficiency - Utilize GoTo Telemed secure video conferencing platform proficiently for all patient consultations - Access and document patient information accurately in integrated Electronic Health Record (EHR) system - Operate intraoral camera equipment to capture high-quality digital images for clinical assessment - Understand and comply with Electronic Data Interchange (EDI) standards for claims submission and insurance verification - Maintain competency with secure messaging system for patient and provider communication - Use appointment scheduling and patient management features within GoTo Telemed platform - Troubleshoot basic technical issues independently; escalate complex technical problems to dedicated platform support team - Complete all mandatory HIPAA security and privacy training prior to patient contact - Maintain awareness of telehealth-specific documentation requirements and billing code standards (D9995, D9996) - Protect patient privacy and maintain confidentiality at all times during digital interactions Administrative & Business Responsibilities - Submit accurate, timely documentation of all patient encounters for billing and compliance purposes - Coordinate appointment scheduling and patient communication through GoTo Telemed platform - Respond promptly to patient inquiries and follow-up requests - Communicate availability and scheduling changes proactively to GoTo Telemed operations team - Maintain organized records of patient consultations, assessments, and treatment recommendations - Comply with all contract terms, compensation arrangements, and billing requirements - Maintain proper business records as 1099 independent contractor - Respond to credentialing verification inquiries from insurance companies and regulatory agencies - Cooperate with quality assurance audits, chart reviews, and compliance monitoring activities - Provide feedback regarding patient flow, scheduling efficiency, and platform functionality Professional Development & Quality Assurance - Complete comprehensive initial training program covering teledentistry platforms, protocols, clinical guidelines, and compliance requirements - Maintain current, unrestricted RDH licensure in all states where patient care is delivered - Maintain current CPR/BLS certification - Participate in ongoing competency assessments and quality improvement initiatives - Engage in continuing education per state dental board requirements and professional standards - Participate in peer review and quality improvement processes as scheduled - Report clinical or technical issues impacting patient safety immediately to supervising dentist and GoTo Telemed management - Stay current with evidence-based teledentistry practices and evolving regulations - Pursue expanded function certification opportunities where applicable (SDF, fluoride varnish, sealants, etc.)

GoTo Telemed is seeking experienced, licensed Registered Dental Hygienists (RDH) to join our expanding teledentistry network. This is a flexible, 1099 independent contractor opportunity allowing you to deliver preventive dental care and patient education across multiple states using secure telehealth technology. We provide comprehensive support infrastructure including complete training, HIPAA-compliant digital platforms, insurance credentialing, billing services, supervising dentist network access, integrated EHR/EDI systems, professional liability insurance options, and an average of 200 network patients per month to ensure consistent patient volume and income potential. Position Type: 1099 Independent Contractor Work Schedule: Flexible – Set Your Own Hours Location: Remote (Multi-State, U.S.) Compensation Structure: Fee-for-Service Model Patient Volume: Approximately 200 average monthly network patients assigned Supervision Model: Licensed Dentist Available (Varies by State Regulations) Clinical Patient Care & Assessment - Conduct comprehensive teledentistry consultations with patients via secure, HIPAA-compliant video conferencing platform (GoTo Telemed) - Perform virtual patient assessments including review of dental history, current complaints, past dental treatment, medical history relevant to oral health, and medication review - Assess patient oral health status through synchronous (real-time video) and asynchronous (store-and-forward) teledentistry modalities - Collect and transmit digital intraoral and extraoral images, radiographs, and clinical data to supervising dentist via secure platform - Provide professional oral health assessments, screening for dental pathology, and identification of treatment needs - Screen for early signs of dental caries, periodontal disease, oral cancer, and other pathological conditions - Document all clinical assessments, findings, and recommendations in integrated Electronic Health Record (EHR) system - Develop and implement individualized treatment recommendations within RDH scope of practice - Educate patients on oral hygiene techniques, preventive care strategies, and disease management protocols Preventive Care & Patient Education - Provide comprehensive dental hygiene education addressing oral health maintenance, disease prevention, and treatment protocols - Educate patients on proper brushing and flossing techniques using evidence-based methodologies - Provide nutritional counseling related to oral health and dietary impact on dental disease - Counsel patients on tobacco cessation, alcohol use reduction, and other lifestyle modifications affecting oral health - Provide guidance on at-home fluoride varnish applications, antimicrobial rinses, and other preventive treatments (as permitted by state scope) - Develop patient-specific home care instructions adapted for teledentistry delivery - Support pain management strategies and post-operative guidance following dental procedures - Conduct pre- and post-operative consultations with patients undergoing dental treatment - Provide oral health instruction to patients with special needs, including pediatric, geriatric, and medically complex populations - Create and share educational materials addressing common dental conditions, prevention strategies, and treatment options Collaboration with Supervising Dentist - Maintain regular, professional communication with assigned supervising dentist(s) through secure messaging, phone consultation, or videoconference - Transmit comprehensive patient assessment data, digital images, radiographs, and clinical findings to supervising dentist for diagnosis and treatment planning - Obtain supervising dentist approval for treatment recommendations before communicating final plans to patients - Seek consultation from supervising dentist regarding complex cases, medically compromised patients, or findings outside standard assessment protocols - Comply with all state-specific supervision requirements including chart review, treatment plan approval, and documentation standards - Ensure all teledentistry patient encounters comply with supervising dentist-approved protocols and clinical guidelines - Document all consultations with supervising dentist including date, time, nature of consultation, and clinical decisions made - Maintain professional relationship with supervising dentist through regular case discussions, quality review, and continuous improvement feedback Interprofessional Collaboration with Medical Practitioners - Participate in interprofessional care coordination between teledentistry and medical practitioners when indicated - Identify and communicate oral-systemic health connections relevant to patients' medical conditions (diabetes, hypertension, cardiovascular disease, etc.) - Coordinate care with physicians, nurse practitioners, and other medical professionals when oral health impacts medical management - Utilize integrated electronic health records for seamless information sharing with medical team members - Refer patients to medical practitioners when dental findings suggest need for medical evaluation or follow-up - Receive referrals from medical practitioners for dental evaluation of conditions with oral-systemic implications - Participate in interdisciplinary case conferences regarding complex patient presentations - Maintain awareness of patients' medical conditions, medications, and medical history impacting dental care planning - Support chronic disease management through oral health interventions and patient education Digital Platform & Technology Proficiency - Utilize GoTo Telemed secure video conferencing platform proficiently for all patient consultations - Access and document patient information accurately in integrated Electronic Health Record (EHR) system - Operate intraoral camera equipment to capture high-quality digital images for clinical assessment - Understand and comply with Electronic Data Interchange (EDI) standards for claims submission and insurance verification - Maintain competency with secure messaging system for patient and provider communication - Use appointment scheduling and patient management features within GoTo Telemed platform - Troubleshoot basic technical issues independently; escalate complex technical problems to dedicated platform support team - Complete all mandatory HIPAA security and privacy training prior to patient contact - Maintain awareness of telehealth-specific documentation requirements and billing code standards (D9995, D9996) - Protect patient privacy and maintain confidentiality at all times during digital interactions Administrative & Business Responsibilities - Submit accurate, timely documentation of all patient encounters for billing and compliance purposes - Coordinate appointment scheduling and patient communication through GoTo Telemed platform - Respond promptly to patient inquiries and follow-up requests - Communicate availability and scheduling changes proactively to GoTo Telemed operations team - Maintain organized records of patient consultations, assessments, and treatment recommendations - Comply with all contract terms, compensation arrangements, and billing requirements - Maintain proper business records as 1099 independent contractor - Respond to credentialing verification inquiries from insurance companies and regulatory agencies - Cooperate with quality assurance audits, chart reviews, and compliance monitoring activities - Provide feedback regarding patient flow, scheduling efficiency, and platform functionality Professional Development & Quality Assurance - Complete comprehensive initial training program covering teledentistry platforms, protocols, clinical guidelines, and compliance requirements - Maintain current, unrestricted RDH licensure in all states where patient care is delivered - Maintain current CPR/BLS certification - Participate in ongoing competency assessments and quality improvement initiatives - Engage in continuing education per state dental board requirements and professional standards - Participate in peer review and quality improvement processes as scheduled - Report clinical or technical issues impacting patient safety immediately to supervising dentist and GoTo Telemed management - Stay current with evidence-based teledentistry practices and evolving regulations - Pursue expanded function certification opportunities where applicable (SDF, fluoride varnish, sealants, etc.)

GoTo Telemed is seeking experienced, licensed Registered Dental Hygienists (RDH) to join our expanding teledentistry network. This is a flexible, 1099 independent contractor opportunity allowing you to deliver preventive dental care and patient education across multiple states using secure telehealth technology. We provide comprehensive support infrastructure including complete training, HIPAA-compliant digital platforms, insurance credentialing, billing services, supervising dentist network access, integrated EHR/EDI systems, professional liability insurance options, and an average of 200 network patients per month to ensure consistent patient volume and income potential. Position Type: 1099 Independent Contractor Work Schedule: Flexible – Set Your Own Hours Location: Remote (Multi-State, U.S.) Compensation Structure: Fee-for-Service Model Patient Volume: Approximately 200 average monthly network patients assigned Supervision Model: Licensed Dentist Available (Varies by State Regulations) Clinical Patient Care & Assessment - Conduct comprehensive teledentistry consultations with patients via secure, HIPAA-compliant video conferencing platform (GoTo Telemed) - Perform virtual patient assessments including review of dental history, current complaints, past dental treatment, medical history relevant to oral health, and medication review - Assess patient oral health status through synchronous (real-time video) and asynchronous (store-and-forward) teledentistry modalities - Collect and transmit digital intraoral and extraoral images, radiographs, and clinical data to supervising dentist via secure platform - Provide professional oral health assessments, screening for dental pathology, and identification of treatment needs - Screen for early signs of dental caries, periodontal disease, oral cancer, and other pathological conditions - Document all clinical assessments, findings, and recommendations in integrated Electronic Health Record (EHR) system - Develop and implement individualized treatment recommendations within RDH scope of practice - Educate patients on oral hygiene techniques, preventive care strategies, and disease management protocols Preventive Care & Patient Education - Provide comprehensive dental hygiene education addressing oral health maintenance, disease prevention, and treatment protocols - Educate patients on proper brushing and flossing techniques using evidence-based methodologies - Provide nutritional counseling related to oral health and dietary impact on dental disease - Counsel patients on tobacco cessation, alcohol use reduction, and other lifestyle modifications affecting oral health - Provide guidance on at-home fluoride varnish applications, antimicrobial rinses, and other preventive treatments (as permitted by state scope) - Develop patient-specific home care instructions adapted for teledentistry delivery - Support pain management strategies and post-operative guidance following dental procedures - Conduct pre- and post-operative consultations with patients undergoing dental treatment - Provide oral health instruction to patients with special needs, including pediatric, geriatric, and medically complex populations - Create and share educational materials addressing common dental conditions, prevention strategies, and treatment options Collaboration with Supervising Dentist - Maintain regular, professional communication with assigned supervising dentist(s) through secure messaging, phone consultation, or videoconference - Transmit comprehensive patient assessment data, digital images, radiographs, and clinical findings to supervising dentist for diagnosis and treatment planning - Obtain supervising dentist approval for treatment recommendations before communicating final plans to patients - Seek consultation from supervising dentist regarding complex cases, medically compromised patients, or findings outside standard assessment protocols - Comply with all state-specific supervision requirements including chart review, treatment plan approval, and documentation standards - Ensure all teledentistry patient encounters comply with supervising dentist-approved protocols and clinical guidelines - Document all consultations with supervising dentist including date, time, nature of consultation, and clinical decisions made - Maintain professional relationship with supervising dentist through regular case discussions, quality review, and continuous improvement feedback Interprofessional Collaboration with Medical Practitioners - Participate in interprofessional care coordination between teledentistry and medical practitioners when indicated - Identify and communicate oral-systemic health connections relevant to patients' medical conditions (diabetes, hypertension, cardiovascular disease, etc.) - Coordinate care with physicians, nurse practitioners, and other medical professionals when oral health impacts medical management - Utilize integrated electronic health records for seamless information sharing with medical team members - Refer patients to medical practitioners when dental findings suggest need for medical evaluation or follow-up - Receive referrals from medical practitioners for dental evaluation of conditions with oral-systemic implications - Participate in interdisciplinary case conferences regarding complex patient presentations - Maintain awareness of patients' medical conditions, medications, and medical history impacting dental care planning - Support chronic disease management through oral health interventions and patient education Digital Platform & Technology Proficiency - Utilize GoTo Telemed secure video conferencing platform proficiently for all patient consultations - Access and document patient information accurately in integrated Electronic Health Record (EHR) system - Operate intraoral camera equipment to capture high-quality digital images for clinical assessment - Understand and comply with Electronic Data Interchange (EDI) standards for claims submission and insurance verification - Maintain competency with secure messaging system for patient and provider communication - Use appointment scheduling and patient management features within GoTo Telemed platform - Troubleshoot basic technical issues independently; escalate complex technical problems to dedicated platform support team - Complete all mandatory HIPAA security and privacy training prior to patient contact - Maintain awareness of telehealth-specific documentation requirements and billing code standards (D9995, D9996) - Protect patient privacy and maintain confidentiality at all times during digital interactions Administrative & Business Responsibilities - Submit accurate, timely documentation of all patient encounters for billing and compliance purposes - Coordinate appointment scheduling and patient communication through GoTo Telemed platform - Respond promptly to patient inquiries and follow-up requests - Communicate availability and scheduling changes proactively to GoTo Telemed operations team - Maintain organized records of patient consultations, assessments, and treatment recommendations - Comply with all contract terms, compensation arrangements, and billing requirements - Maintain proper business records as 1099 independent contractor - Respond to credentialing verification inquiries from insurance companies and regulatory agencies - Cooperate with quality assurance audits, chart reviews, and compliance monitoring activities - Provide feedback regarding patient flow, scheduling efficiency, and platform functionality Professional Development & Quality Assurance - Complete comprehensive initial training program covering teledentistry platforms, protocols, clinical guidelines, and compliance requirements - Maintain current, unrestricted RDH licensure in all states where patient care is delivered - Maintain current CPR/BLS certification - Participate in ongoing competency assessments and quality improvement initiatives - Engage in continuing education per state dental board requirements and professional standards - Participate in peer review and quality improvement processes as scheduled - Report clinical or technical issues impacting patient safety immediately to supervising dentist and GoTo Telemed management - Stay current with evidence-based teledentistry practices and evolving regulations - Pursue expanded function certification opportunities where applicable (SDF, fluoride varnish, sealants, etc.)