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

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)

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

As a Fully Remote RN Case Manager (SNP), you will

• 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

Note: 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 - $116,858.00

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.