Bilingual Complex Care RN - Spanish/English Care Coordinator

Alignment Health; San Diego (CA); On-site; USD 86,000 - 129,000; Full time

Job summary

Alignment Health in San Diego, CA is seeking a Complex Care RN to act as the clinical quarterback for a panel of high-risk Medicare Advantage members, ensuring they receive the right care at the right time while improving outcomes and quality of life.

You will build trusted relationships with members and caregivers, lead transitions of care after hospital or SNF discharges, and document diligently in Athena EMR to support coordinated care and population health goals.

Qualifications

• Associate Degree in Nursing (ADN) required; BSN strongly preferred.
• Active, unrestricted RN license in CA.
• Current BLS certification.

Responsibilities

• Manage and coordinate care for medically complex Medicare Advantage members.
• Build trusted relationships with members and caregivers through ongoing virtual engagement.
• Lead transitions of care following hospital, SNF, and inpatient discharges.
• Complete medication reconciliations and monitor changes in clinical status.
• Identify and elevate clinical concerns to the appropriate provider.
• Partner with multidisciplinary teams to ensure seamless, coordinated care.
• Support chronic disease management for conditions including heart failure, COPD, diabetes, and CKD.
• Assist with HEDIS, quality initiatives, and care gap closure activities.

Skills

RN experience in complex care

Bilingual Spanish & English

Telehealth / virtual care

HEDIS / care gap

Education

ADN

BSN preferred

CA RN license

BLS certification

Job description

Alignment Health in San Diego, CA is seeking a Complex Care RN to act as the clinical quarterback for a panel of high-risk Medicare Advantage members, ensuring they receive the right care at the right time while improving outcomes and quality of life.

You will build trusted relationships with members and caregivers, lead transitions of care after hospital or SNF discharges, and document diligently in Athena EMR to support coordinated care and population health goals.