Remote Telephonic RN Case Manager–Special Needs Plan - Remote (California RN License Required) (Bilingual preferred)
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 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 workspace and involves working Monday–Friday, 8:00 AM – 5:00 PM PT. Bilingual candidates (Spanish and Vietnamese) are strongly preferred. Alignment Health is committed to serving seniors and the chronically ill and frail, with a mission to put the senior first and transform lives.
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)
- Must work Pacific Time hours
- 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
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
