Bilingual Spanish Telephonic RN Nurse Case Manager -Special Needs Plan (California RN Required) (Remote)

Alignment Health•California Corporate Office, PA

2d•$77,905 - $116,858•Remote

About The Position

Alignment Health is redefining healthcare for seniors and those with complex needs, focusing on the chronically ill and frail. We are a fast-growing company seeking passionate individuals to join our mission of putting seniors first and transforming lives. This fully remote, phone-based position involves helping members navigate their care, close gaps in care, and overcome health barriers. A HIPAA-compliant workspace is required.

Requirements

Active, unrestricted RN license in California (Non-Compact)
Minimum 2 years of clinical nursing experience
At least 1 year of case management experience
Proficiency with Microsoft Office (Word, Excel, Outlook)
Must be willing to obtain RN licensure in Nevada, Arizona, North Carolina, and Texas (company reimburses costs)
Active, unrestricted RN license in California (Non-Compact) required upon hire.

Nice To Haves

Bilingual (Spanish, Korean, Mandarin, etc.)
Previous health plan or IPA experience
Bachelor's Degree in Nursing (BSN)

Responsibilities

Provide telephonic case management to medically complex and chronically ill members.
Conduct comprehensive health assessments and create individualized care plans.
Coordinate care with internal and external partners, including physicians and specialists.
Educate members and caregivers on disease management and preventive care.
Monitor member progress and advocate for timely, appropriate interventions.
Identify and help resolve service or access issues impacting care quality.