Manager, Care Management – CA RN Unrestricted License

🕒 June 23

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

👥 B2C

💰 $321.1M Post-IPO Debt - Alignment Health on 2024-11

Healthcare Insurance • B2C

Alignment Health is a Medicare-focused health insurance company that offers Medicare Advantage plans and member-centered services. It provides 24/7 on-demand access to care via in-person, in-home, and mobile channels and features a concierge-style on-demand card to help members schedule appointments, arrange transportation, and answer health questions. Alignment Health partners with brokers, providers, Accountable Care Organizations (ACOs), and institutional partners, operates in multiple U. S. states (including Arizona, California, Nevada, North Carolina, and Texas), and has earned high CMS ratings and industry recognition.

📋 Description

• Lead, mentor, and develop a team of RN Case Managers • Oversee daily outpatient case management operations • Maintain audit readiness by coordinating chart reviews • Train and onboard new staff while providing ongoing coaching • Collaborate cross-functionally with Medical Directors and leadership • Manage escalated cases and ensure accurate documentation • Analyze and report clinical and program data to leadership

🎯 Requirements

• 5+ years of RN Case Management experience (or equivalent combination of education and experience) • At least 1 year of leadership or supervisory experience in a healthcare setting • Associate’s or Bachelor’s degree in Nursing required • Active, unrestricted Registered Nurse (RN) license (required) • CCM certification preferred • Strong knowledge of Medicare Managed Care Plans • Proficiency in Microsoft Office (Word, Excel, Outlook)

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Flexible work arrangements • Professional development