Bilingual Spanish Telephonic RN Nurse Case Manager – Special Needs Plan, California RN Required

🔥 20 hours ago

🏄 California, Pennsylvania – Remote

🏄 California – Remote 🔔 Pennsylvania – Remote

💵 $77.9k - $116.9k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💬 Bilingual

👻 Ghost score 0%

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Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

🛡️ Insurance

🏥 Healthcare

💰 $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

• Provide telephonic case management to medically complex and chronically ill Special Needs Plan 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 • Conduct all communication via phone, email, and Teams • Work remotely from home while working Pacific Time hours

🎯 Requirements

• Active, unrestricted RN license in California (Non-Compact) required • Minimum 2 years of clinical nursing experience • At least 1 year of case management experience • Proficiency with Microsoft Office (Word, Excel, Outlook) • Must be willing to obtain RN licensure in Nevada, Arizona, North Carolina, and Texas • HIPAA-compliant workspace required • Must work Pacific Time hours • Bilingual candidates strongly preferred (Spanish and Vietnamese) • Previous health plan or IPA experience nice to have • Bachelor's Degree in Nursing (BSN) nice to have • Position is not open to LVNs

🏖️ Benefits

• 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 • Company-provided equipment and IT support included • Company reimburses costs for required additional RN licensure in Nevada, Arizona, North Carolina, and Texas