[Hiring] RN Case Manager – Transition of Care @Alignment Health

Role Description

Alignment Health is hiring a Remote RN Case Manager to support members transitioning from hospital or skilled nursing care. This role focuses on reducing readmissions, coordinating post-discharge care, and providing education and resources to patients and families—all conducted telephonically.

Schedule: Must be willing to work Mon - Fri, 8am - 5pm Pacific Time

What You’ll Do:

• Develop and manage personalized discharge care plans
• Coordinate services across providers and community resources
• Educate members and families on diagnoses, medications, and self-care
• Monitor progress and ensure continuity of care
• Advocate for member needs and support their recovery

Qualifications

• Active, unrestricted California RN license
• Bilingual in Spanish or Vietnamese
• 2+ years of case management or clinical experience
• Willing to obtain licensure in other designated states (Non-compact: NV; Compact: AZ, NC, TX) within the first 6 months of employment (licensure fees reimbursed by the company)
• Strong communication and care coordination skills

Requirements

Knowledge

• Knowledge of Medicare Managed Care Plans, insurance regulations and community resources

Specialized Skills:

• Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
• Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors.
• Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly.
• Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
• Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.
• Report Analysis Skills: Comprehend and analyze statistical reports.

Essential Physical 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.

Benefits

• 100% remote position with standard business hours (Mon–Fri, 8–5 PT)
• Competitive pay and full benefits
• Opportunity to truly impact patient outcomes
• Supportive, mission-driven team environment
• Preferred: Case Management Certification.

Pay Range

$85,696.00 - $128,543.00

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