Manager, Case Management – RN License Required

🔥 14 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $113.3k - $170k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Alignment Health

WebsiteLinkedInAll Job Openings

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 • Drive quality, efficiency, and member-centered outcomes • Lead, coach, and develop a high-performing case management team • Ensure timely completion of Health Risk Assessments, Individualized Care Plans, Interdisciplinary Care Team activities • Monitor operational and quality performance metrics • Collaborate cross-functionally with Utilization Management, HEDIS/STARS, Quality Improvement, Provider and Clinical Operations teams

🎯 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