Telephonic RN Case Manager–Special Needs Plan - Remote (California RN License Required) (Bilingual preferred)

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

Benefits offered by this job

Competitive compensation

Health benefits

401(k) with employer match

Generous PTO and holidays

Career growth and continuing education

Referral bonuses

Job summary

Alignment Health is seeking a compassionate Registered Nurse to join as a Telephonic RN Case Manager for our SNP members, all from the comfort of your home. This fully remote, phone-based role helps members navigate their care, close gaps in care, and overcome barriers to better health while complying with HIPAA and coordinating with the care team.

Must have an active California RN license (Non-Compact), a minimum of 2 years clinical nursing experience and at least 1 year in case management;

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

RN license

Clinical nursing

Case management

Microsoft Office

Education

Bachelor's Degree in Nursing (BSN)

Tools

Microsoft Office

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) (HIPAA compliant work space) Schedule: Monday-Friday, 8:00 AM - 5:00 PM PT Language: 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 Do

• 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

Requirements

Must-Haves

• 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)

Nice-to-Haves

• Bilingual (Spanish, Korean, Mandarin, etc.)
• Previous health plan or IPA experience
• Bachelor's Degree in Nursing (BSN)

Licensure Requirement Upon Hire

Must be willing to obtain RN licensure in Nevada, Arizona, North Carolina, and Texas (company reimburses costs)

Work Environment

Fully remote - work from anywhere in the U.S., but must work Pacific Time hours. All communication is conducted via phone, email and Teams. Company-provided equipment and IT support included.

Why 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 & Perks

• Competitive compensation
• Full suite of health benefits (medical, dental, vision)
• 401(k) with employer match
• Generous PTO and paid holidays
• Career growth and continuing education support
• Rewarding referral bonuses for successful hires

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

Pay Range: $77,905.00 - $116,858.00 Pay 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.

Note: This position is not open to LVNs. California RN license is required.