Alignment Health
Alignment Health
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.

Telephonic RN Case Manager, Special Needs Plan (California Remote)

Provide remote telephonic case management for Alignment Health members with complex and chronic conditions. Complete assessments, coordinate care, develop care plans, and deliver disease-management education.

Description

  • Manage telephonic care for medically complex and chronically ill Special Needs Plan members
  • Complete comprehensive health assessments and develop individualized care plans
  • Coordinate services with internal and external partners, including physicians and specialists
  • Teach members and caregivers about disease management and preventive care
  • Track member progress and advocate for timely, appropriate interventions
  • Recognize and help address service or access barriers that affect care quality
  • Communicate with members and partners by phone, email, and Teams
  • Meet essential physical demands including speaking, hearing, standing, walking, sitting, handling objects or controls, reaching, and occasionally lifting or moving up to 10 pounds

Requirements

  • Hold an active, unrestricted California RN license; non-Compact license required
  • Have at least two years of clinical nursing experience
  • Have at least one year of case management experience
  • Use Microsoft Office applications, including Word, Excel, and Outlook, proficiently
  • Be willing to obtain RN licensure in Nevada, Arizona, North Carolina, and Texas after hire
  • Bilingual applicants are preferred, including speakers of Spanish, Korean, Mandarin, or other languages
  • Previous health plan or IPA experience is preferred
  • A Bachelor of Science in Nursing is preferred
  • Maintain a HIPAA-compliant workspace
  • Work Pacific Time hours
  • LVNs are not eligible for this position

Benefits

  • Medical, dental, and vision coverage
  • 401(k) plan with employer matching
  • Paid time off and paid holidays
  • Career development and continuing education support
  • Referral bonuses for successful hires
  • Company-provided equipment and IT support
  • Competitive compensation

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