Alight Inc. (NYSE: ALIT) is a leading cloud-based human capital technology and services provider
Care Team-Registered Nurse
Location
United States
Posted
2 days ago
Salary
$85K - $95K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Care Team-Registered Nurse
Alight Solutions
Role Description This role is critical in supporting members through high-quality clinical case management and coordination of expert medical opinions. This position involves reviewing complex medical cases, ensuring clinical completeness, and facilitating the delivery of expert insights through collaboration with physicians and internal teams. Responsibilities - Managing assigned Care Team case workload from intake through completion. - Ensuring cases meet established timelines, service level agreements (SLAs), and performance guarantees (PGs). - Maintaining knowledge of workflows, clinical operations, and organizational policies and procedures. - Demonstrating ownership of case progression and timely delivery of services. - Evaluating medical records and imaging for completeness and clinical quality. - Reviewing, interpreting, and synthesizing complex medical records. - Creating clear, concise, and structured written case summaries. - Identifying gaps in records and determining when additional information or testing is required. - Triaging cases to the appropriate clinical specialty and consulting physician. - Collaborating with physicians, summary coordinators, and healthcare navigation teams. - Ensuring all clinical components are aligned for accurate expert delivery. - Communicating effectively within the nursing team and cross-functional partners. - Escalating issues, risks, or concerns to leadership as appropriate. - Adhering to all confidentiality and HIPAA requirements in accordance with company policies. - Ensuring compliance with all operational and clinical standards. - Participating in quality improvement initiatives and organizational projects. Qualifications - Possess BSN in Nursing required or currently in progress. - Hold active RN license in good standing. - Have experience managing relationships with external clients or partners. - Have experience reviewing and analyzing complex patient medical records. - Demonstrate good attention to detail, critical thinking, and problem-solving skills. - Display excellent written and verbal communication abilities. - Possess dynamic customer service orientation. - Be proficient in Microsoft Outlook, Word, Excel, and Adobe PDF tools. - Have ability to work independently and collaboratively in a team environment. - Be comfortable in an urgent, evolving operational setting and flexible to changing priorities. Application and Interview By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position. Alight requires all virtual interviews to be conducted on video. Please be aware that Alight is a camera-on culture and may require occasional travel to one of our physical office locations. Our Commitment to Inclusion We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful. At Alight, we welcome and embrace all individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to thrive. Join us in building a brighter, more inclusive future. As part of this commitment, Alight will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact alightcareers@alight.com. Equal Opportunity Policy Statement Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state, or local law. In addition, we take affirmative action to employ disabled persons, disabled veterans, and other covered veterans. Alight provides reasonable accommodations to the known limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices, and observances, unless doing so would result in undue hardship.
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