Remote SNP Care Management Lead

Alignment Healthcare USA, LLC; Phoenix (AZ); Remote; USD 113,000 - 170,000; Full time

Job summary

Alignment Health is seeking a seasoned Manager, Case Management – SNP to steer a remote care management team serving Medicare Advantage SNP members. You will ensure CMS Model of Care compliance while driving quality, efficiency, and member-centered outcomes across a high-performing team.

The role requires 5+ years in clinical case management, SNP experience, and leadership capability. A California RN license is required, with opportunities to expand licensure to other markets.

Qualifications

• Active, unrestricted California RN license.
• Associate or Bachelor's degree in Nursing.
• Minimum 5 years of clinical case management experience.
• Minimum 1 year of SNP program experience in a health plan.
• Willingness to obtain RN licensure in additional markets.

Responsibilities

• Oversee day-to-day operations of a case management team serving SNP members.
• Ensure compliance with CMS Model of Care and Medicare Advantage regulations.
• Lead, coach, and develop a high-performing team to improve outcomes.
• Monitor performance metrics and drive improvement initiatives.
• Collaborate cross-functionally with Utilization Management, Quality, and Operations teams.

Skills

Leadership

Communication

Relationship-building

Data-driven mindset

Project management

Education

RN license (California)

Associate's or Bachelor's Degree in Nursing

BSN or MSN preferred

Tools

EHR systems

Healthcare technology platforms

Job description

Alignment Health is seeking a seasoned Manager, Case Management – SNP to steer a remote care management team serving Medicare Advantage SNP members. You will ensure CMS Model of Care compliance while driving quality, efficiency, and member-centered outcomes across a high-performing team.

The role requires 5+ years in clinical case management, SNP experience, and leadership capability. A California RN license is required, with opportunities to expand licensure to other markets.