Transitions of Care (TOC) Care Manager – Outpatient (Temporary, Remote)

Alignment Health

92d • $85,696 - $128,543

About The Position

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Case Manager – Transitions of Care (Outpatient) ensures a smooth transition for members after a hospital or Skilled nursing facility discharge by coordinating care, providing resources, and educating members/families about the post discharge care plan to support optimal health outcomes.

Requirements

• Licensed RN in California (required)
• 2+ years of care management experience (required)
• Experience in Medicare Managed Care or similar setting
• Strong communication, time management, and problem-solving skills
• Comfortable working independently in a fast-paced, remote environment
• Willing to obtain licensure in additional states (company reimburses fees)

Nice To Haves

• Case Management Certification (CCM or equivalent)
• Knowledge of HEDIS and Risk Adjustment programs

Responsibilities

• Create personalized post-discharge care plans
• Coordinate follow-up care, services, and resources
• Educate members and families about medications, appointments, and care instructions
• Help navigate questions about insurance, eligibility, or care needs
• Collaborate with hospitals, home health agencies, and other care providers
• Maintain accurate documentation of all care coordination activities
• Participate in internal team meetings and quality improvement efforts

Benefits

• Fully Remote (Work from home)
• Opportunity to make a difference in the lives of seniors
• Supportive team environment

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees