Telephonic RN Case Manager–Special Needs Plan - Remote (California RN License Required) (Bilingual preferred)
About The Position
Alignment Health is seeking a Registered Nurse to provide telephonic case management for Special Needs Plan (SNP) members, including medically complex and chronically ill patients. This fully remote, phone-based role supports members in navigating care, closing care gaps, and overcoming barriers to better health. The position requires a California RN license and a HIPAA-compliant workspace. The schedule is Monday through Friday, 8:00 AM–5:00 PM Pacific Time. Communication is conducted by phone, email, and Teams; company-provided equipment and IT support are included. Candidates must be willing to obtain RN licensure in Nevada, Arizona, North Carolina, and Texas, with costs reimbursed by the company.
Requirements
- Active, unrestricted California RN license; a non-Compact license is specified.
- At least 2 years of clinical nursing experience.
- At least 1 year of case management experience.
- Proficiency with Microsoft Office, including Word, Excel, and Outlook.
- Must be willing to obtain RN licensure in Nevada, Arizona, North Carolina, and Texas; the company reimburses the costs.
- Must have a HIPAA-compliant workspace.
Nice To Haves
- Bilingual ability; Spanish, Korean, Mandarin, and other languages are mentioned.
- 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 that affect care quality.
Benefits
- Full suite of health benefits, including medical, dental, and vision.
- 401(k) with employer match.
- Generous paid time off and paid holidays.
- Career growth and continuing education support.
- Referral bonuses for successful hires.
- Company-provided equipment and IT support.
- Reimbursement for obtaining RN licenses in Nevada, Arizona, North Carolina, and Texas.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
