Remote Bilingual Spanish Telephonic RN Nurse Case Manager (California RN Required)
About The Position
Alignment Health is seeking a compassionate and experienced 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 California RN license 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 progress, and identify/resolve service or access issues. The company is committed to serving seniors and the chronically ill, offering opportunities for growth and innovation in a fast-growing environment.
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)
- HIPAA compliant work space
- Must work Pacific Time hours
Nice To Haves
- Bilingual (Spanish, Korean, Mandarin, etc.)
- Previous health plan or IPA experience
- Bachelor's Degree in Nursing (BSN)
- Willing to obtain RN licensure in Nevada, Arizona, North Carolina, and Texas (company reimburses costs)
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
- Company-provided equipment and IT support
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
