Remote Bilingual Spanish Telephonic RN Nurse Case Manager -Special Needs Plan (California RN Required)

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

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 breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.Location: Fully Remote (Must be licensed in California)Schedule: Monday–Friday, 8:00 AM – 5:00 PM PTLanguage: Bilingual candidates strongly preferred (Spanish and Vietnamese)Join the Team That’s Redefining Healthcare!Are you a compassionate Registered Nurse with a passion for improving the lives of seniors and complex care patients? Join Alignment Health as a Telephonic RN Case Manager for our Special Needs Plan (SNP) members — all from the comfort of your home!This is a fully remote, phone-based position where you'll play a vital role in helping members navigate their care journeys, close gaps in care, and overcome barriers to better health. (HIPAA compliant work space)What You'll DoAs an Remote RN Case Manager (SNP), you will:Provide telephonic case management to medically complex and chronically ill membersConduct comprehensive health assessments and create individualized care plansCoordinate care with internal and external partners, including physicians and specialistsEducate members and caregivers on disease management and preventive careMonitor member progress and advocate for timely, appropriate interventionsIdentify and help resolve service or access issues impacting care qualityRequirementsMust-Haves:Active, unrestricted RN license in California (Non-Compact)Minimum 2 years of clinical nursing experienceAt least 1 year of case management experienceProficiency with Microsoft Office (Word, Excel, Outlook)Nice-to-Haves:Bilingual (Spanish, Korean, Mandarin, etc.)Previous health plan or IPA experienceBachelor's Degree in Nursing (BSN)Licensure Requirement Upon Hire:Active, unrestricted RN license in California (Non-Compact)Must be willing to obtain RN licensure in Nevada, Arizona, North Carolina, and Texas (company reimburses costs)Work EnvironmentFully remote — work from anywhere in the U.S., but must work Pacific Time hoursAll communication is conducted via phone, email and Teams.Company-provided equipment and IT support includedWhy Join Alignment Health?At Alignment, we’re changing the way healthcare is delivered for the most vulnerable populations. We're committed to innovation, compassion, and delivering meaningful outcomes — and we want you to be a part of that journey.Benefits & PerksCompetitive compensationFull suite of health benefits (medical, dental, vision)401(k) with employer matchGenerous PTO and paid holidaysCareer growth and continuing education supportRewarding referral bonuses for successful hiresApply TodayBe part of something bigger. Bring your skills and compassion to a team that values connection, service, and innovation.Apply now or refer a colleague who would thrive in this role:https://careers.alignmenthealth.comNote: This position is not open to LVNs. California RN license is required.Essential Physical Functions:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.Pay Range: $77,905.00 - $116,858.00Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [e-mail].