Alignment Health
501 - 1000 employees
Founded 2013
⚕️ Healthcare Insurance
💰 $135M Series C on 2020-03
Healthcare Insurance • Insurance • Healthcare
Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.
Manager, Case Management – California RN License Required
🕒 May 26
📊 Check your resume score for this job
Improve your chances of getting an interview by checking your resume score before you apply.
Alignment Health
501 - 1000 employees
Founded 2013
⚕️ Healthcare Insurance
💰 $135M Series C on 2020-03
Healthcare Insurance • Insurance • Healthcare
Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.
📋 Description
• Oversee day-to-day operations of an integrated care management team supporting Medicare Advantage SNP members • Ensure compliance with CMS Model of Care requirements while driving quality, efficiency, and member-centered outcomes • Lead, coach, and develop a high-performing case management team serving SNP members • Ensure timely completion of: Health Risk Assessments (Initial & Reassessments) • Individualized Care Plans (ICPs) • Interdisciplinary Care Team (ICT) activities • Monitor operational and quality performance metrics and implement improvement strategies • Oversee regulatory audits, compliance initiatives, and quality assurance activities • Collaborate cross-functionally with: Utilization Management, HEDIS/STARS, Quality Improvement, Provider and Clinical Operations teams • Analyze reporting trends and operational data to support strategic decision-making • Promote a culture of accountability, collaboration, and continuous improvement • Support program growth and operational excellence within the Medicare Advantage SNP population
🎯 Requirements
• Active, unrestricted California RN license • Associate’s or Bachelor’s Degree in Nursing • Minimum 5 years of clinical case management experience • Minimum 1 year of experience supporting SNP programs within a health plan environment • Willingness to obtain RN licensure in additional company markets, if needed • Strong understanding of: CMS SNP Model of Care • Medicare Advantage regulations • Care coordination and population health strategies
🏖️ Benefits
• Fully remote flexibility • Opportunity to lead and grow within a rapidly expanding organization • Meaningful work improving outcomes for high-risk Medicare populations • Collaborative, mission-driven culture focused on quality care and innovation • Ability to influence and enhance case management programs at scale • Competitive compensation and benefits package
Apply NowSimilar Jobs
🕒 May 26
Treasury Manager managing cash flow forecasting and banking operations for a physical goods startup. Collaborating across functions to improve financial processes and ensure liquidity.
🇺🇸 United States – Remote
💵 $150k - $175k / year
💰 Venture Round on 2020-09
⏰ Full Time
🟡 Mid-level
🟠 Senior
👔 Manager
🕒 May 26
Senior Manager, Analytics leading quantitative analysis across Corporate Development. Delivering strategic analytical leadership in mortgage servicing and securitization activities.
🕒 May 26
Stormwater Emergency Response Manager responsible for managing stormwater-related client requests at a leading environmental consulting firm. Collaborate with teams to ensure quality service for commercial clients.
🇺🇸 United States – Remote
💵 $70k - $80k / year
💰 Funding Round on 2019-01
⏰ Full Time
🟢 Junior
🟡 Mid-level
👔 Manager
🕒 May 26
Area Manager leading and managing teams of Retail Service Merchandisers. Responsible for project supervision and client relations in retail service management.
🇺🇸 United States – Remote
💵 $44.2k - $55k / year
💰 Venture Round on 2003-01
⏰ Full Time
🟢 Junior
🟡 Mid-level
👔 Manager
🚫👨🎓 No degree required
🦅 H1B Visa Sponsor
🕒 May 26
Senior Project Controls Manager at Giga Energy overseeing cost control and forecasting for large-scale infrastructure projects. Collaborating with Engineering, Construction, and Finance teams to ensure project financials are on track.
