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.

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)
  • Regularly required to talk or hear.
  • Regularly required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
  • Frequently lifts and/or moves up to 10 pounds.
  • Specific vision abilities required by this job include close vision and the ability to adjust focus.

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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