Remote Manager, Care Management (CA RN Unrestricted License)
About The Position
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 Manager, Case Management demonstrates competency in the concepts, principles, strategies, and appli-cation of CM practices. The Supervisor position is responsible for: day-to-day outpatient case management activities, direct supervision of licensed and coordinator staff, and the promotion of quality care outcomes while supporting appropriate utilization and resource management along the continuum of care. Location: Remote (in the USA) Schedule: Full-time (40 hours/must work PST hours) About the Role We are seeking a dynamic and experienced Manager of Care Management to lead a high-performing team of clinical professionals. In this fully remote leadership role, you will drive excellence in outpatient case management, ensuring high-quality care delivery, regulatory compliance, and optimal resource utilization across the continuum of care. This position is ideal for a proven RN leader who is passionate about coaching teams, improving outcomes, and making a meaningful impact in managed care.
Requirements
- 5+ years of RN Case Management experience (or equivalent combination of education and experience)
- At least 1 year of leadership or supervisory experience in a healthcare setting
- Associate’s or Bachelor’s degree in Nursing required
- Active, unrestricted Registered Nurse (RN) license (required)
- Strong knowledge of Medicare Managed Care Plans
- Proven leadership and team management experience
- Ability to manage projects and initiatives to improve performance
- Skilled in organizing, prioritizing, and delegating work
- Excellent communication and collaboration skills across diverse teams
- Strong analytical, problem-solving, and decision-making abilities
- Proficiency in Microsoft Office (Word, Excel, Outlook)
- Ability to interpret and analyze clinical and statistical reports
- Must be able to work PST hours
Nice To Haves
- BSN or MSN preferred
- CCM certification preferred
Responsibilities
- Lead, mentor, and develop a team of RN Case Managers, ensuring alignment with organizational policies and regulatory standards
- Oversee daily outpatient case management operations, including referrals, transitions of care, and care coordination
- Maintain audit readiness by coordinating chart reviews and monitoring case management processes
- Train and onboard new staff while providing ongoing coaching and performance feedback
- Assign and prioritize team workload to ensure efficiency and quality outcomes
- Collaborate cross-functionally with Medical Directors, Quality, and Compliance leadership
- Manage escalated cases and step in to perform case management duties as needed
- Ensure accurate and compliant documentation across all team activities
- Analyze and report clinical and program data to leadership to support continuous improvement
- Support the development and implementation of protocols, workflows, and best practices
- Supervise a team of RN Case Managers and coordinators
- Lead hiring, onboarding, and training efforts
- Provide performance management, coaching, and development
- Plan, monitor, and evaluate team performance and outcomes
Benefits
- Pay Range: $98,550.00 - $147,825.00
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
Associate degree
