Telephonic RN Case Manager–Special Needs Plan - Remote (California RN License Required) (Bilingual preferred)

Alignment Health•California Corporate Office, CA

6d•$77,905 - $116,858•Remote

About The Position

Alignment Health is seeking a compassionate Registered Nurse with a passion for improving the lives of seniors and complex care patients to join as a Telephonic RN Case Manager for our Special Needs Plan (SNP) members. This is a fully remote, phone-based position where you'll play a vital role in helping members navigate their care journeys, close gaps in care, and overcome barriers to better health. The role requires a HIPAA compliant work space and operates on a Monday–Friday, 8:00 AM – 5:00 PM PT schedule. Bilingual candidates are strongly preferred.

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)
HIPAA compliant work space

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