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Alignment Health
Alignment Health
501 – 1,000 Employees
HealthcareHealthcare InsuranceInsurance
Alignment Health is a healthcare insurance company focused on improving care for Medicare members, particularly seniors, people living with chronic conditions, and those who are frail. Founded in 2013, the company combines a personalized care model with technology and a 24/7 concierge care team to coordinate support with trusted local providers. Its work spans healthcare delivery and insurance, with a focus on making care more accessible, responsive, and cost-conscious for its members. Alignment Health hires across a growing healthcare organization serving the needs of Medicare communities.
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Bilingual Spanish RN Case Manager – Medicare SNP (California Remote)

Provide remote bilingual Spanish case management for Medicare Special Needs Program members at Alignment Health. Assess complex needs, coordinate services, close care gaps, and support members and providers.

USUnited StatesCACalifornia
$77,905 – $116,858 / year
RemoteFull-timeJuniorMiddleEnglish RequiredSpanish RequiredBilingual

Description

  • Coordinate care for members, families, and physicians.
  • Facilitate referrals and authorizations to secure appropriate care for urgent needs.
  • Conduct comprehensive assessments of health status, resource use, treatment plans, and services.
  • Partner with members, primary care providers, and care teams to implement care plans.
  • Coordinate treatment plans with physicians, hospitalists, nurse practitioners, and specialists.
  • Deliver education and self-management guidance suited to each member’s learning style.
  • Help resolve provider, claims, and service-related issues.
  • Coordinate effectively with delegated and contracted providers, groups, and entities.
  • Protect confidential health information in accordance with applicable law and company policy.
  • Contact and engage members by telephone.
  • Apply the nursing process when supporting members with complex or chronic care needs.

Requirements

  • At least two years of clinical experience.
  • At least one year of case management experience.
  • Post-secondary coursework leading to RN licensure or an associate degree in nursing.
  • An active, valid, unrestricted California RN license that is non-compact.
  • Willingness to obtain non-compact LVN and/or RN licenses in Nevada and compact licenses in Arizona, North Carolina, and Texas immediately after hire.
  • Strong knowledge of community resources, treatment options, home health, funding options, and special programs.
  • Extensive knowledge of chronic condition management.
  • Strong written and verbal communication skills.
  • Proficiency with PC-based software, including Word, Excel, and PowerPoint.
  • Ability to perform mathematical calculations and calculate basic statistics.
  • Ability to prioritize multiple tasks, apply advanced reasoning, establish facts, draw conclusions, and resolve problems.
  • Strong problem-solving, organizational, and time-management abilities.
  • Ability to understand and analyze statistical reports, and willingness to work from 8:00 a.m. to 5:00 p.m. Pacific Time.
  • benefits

Benefits

  • The company reimburses LVN and/or RN licensure costs for Nevada, Arizona, North Carolina, and Texas.
  • Equal Opportunity/Affirmative Action Employer.

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