Remote Bilingual Spanish Telephonic RN Nurse Case Manager -Special Needs Plan (California RN Required)
About The Position
Alignment Health is seeking a Telephonic RN Case Manager for their Special Needs Plan (SNP) members. This is a fully remote, phone-based position where the nurse will help members navigate their care journeys, close gaps in care, and overcome barriers to better health. The role requires a HIPAA compliant work space and involves providing telephonic case management to medically complex and chronically ill members. The nurse will conduct comprehensive health assessments, create individualized care plans, coordinate care with internal and external partners, educate members and caregivers, monitor member progress, and identify/resolve service or access issues impacting care quality.
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)
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
Benefits
- Competitive compensation
- Full suite of health benefits (medical, dental, vision)
- 401(k) with employer match
- Generous PTO and paid holidays
- Career growth and continuing education support
- Rewarding referral bonuses for successful hires
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
