Remote Bilingual Spanish RN Case Manager

Alignment Healthcare USA, LLC in; Orange (CA); Remote; USD 78,000 - 117,000; Full time

Job summary

Alignment Health is seeking a Remote RN Case Manager SNP (California RN licensure required, non-Compact) to coordinate care for seniors and complex patients. The role operates on Pacific Time, 8:00am–5:00pm, with remote responsibilities across states.

Responsibilities include comprehensive assessments, referrals, and collaboration with PCPs and care teams to develop and implement plans. Strong communication, documentation, and software skills in Word/Excel/PowerPoint are essential.

Qualifications

• Active RN license in California (Non-Compact).
• Minimum 2 years of clinical experience and 1 year in case management.
• BSN or Bachelor’s degree preferred; AS in Nursing acceptable.

Responsibilities

• Coordinate care for members, families, and physicians.
• Facilitate referrals and authorizations within benefit structure.
• Complete comprehensive health assessments within scope of practice.
• Collaborate with PCP and care team to implement care plans.
• Interface with physicians, hospitalists, NPs, and specialists on care plans.
• Provide education and self-management support to members.
• Assist with problem-solving with providers, claims or service issues.
• Work with delegated providers to ensure coordination of care.
• Maintain PHI confidentiality per laws and policy.

Skills

RN License CA

Case Management

Clinical Experience

Communication Skills

PC Proficiency

Education

RN licensure in CA

BSN preferred

AS in Nursing

Tools

Word

Excel

PowerPoint

Job description

Alignment Health is seeking a Remote RN Case Manager SNP (California RN licensure required, non-Compact) to coordinate care for seniors and complex patients. The role operates on Pacific Time, 8:00am–5:00pm, with remote responsibilities across states.

Responsibilities include comprehensive assessments, referrals, and collaboration with PCPs and care teams to develop and implement plans. Strong communication, documentation, and software skills in Word/Excel/PowerPoint are essential.