Remote Bilingual RN Telephonic Case Manager – Spanish

Alignment Healthcare USA, LLC

Orange (CA)

Remote

USD 78,000 - 117,000

Full time

4 days ago
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Benefits offered by this job

Health benefits
401(k) with employer match
Generous PTO and holidays
Career growth & education support

Job summary

Alignment Health is seeking a Telephonic RN Case Manager for the SNP program, fully remote within the U.S. The role focuses on guiding Medicare Advantage SNP members through their care journeys from home, with emphasis on closing gaps in care.

You will assess needs, develop individualized care plans, coordinate with physicians and care teams, and educate patients and families on disease management and preventive care while advocating for timely interventions.

Qualifications

  • 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)

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

Skills

Clinical nursing
Case management
Telephonic communication
Microsoft Office

Education

Bachelor's Degree in Nursing (BSN)

Tools

Microsoft Office (Word, Excel, Outlook)

Job description

Alignment Health is seeking a Telephonic RN Case Manager for the SNP program, fully remote within the U.S. The role focuses on guiding Medicare Advantage SNP members through their care journeys from home, with emphasis on closing gaps in care.

You will assess needs, develop individualized care plans, coordinate with physicians and care teams, and educate patients and families on disease management and preventive care while advocating for timely interventions.

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