Bilingual Spanish RN Case Manager – Special Needs Plan
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Job Description
Remote California-licensed RN managing telephonic case care for Alignment Health’s complex senior members. Coordinating assessments, care plans, education, and interventions for Special Needs Plan patients.
Responsibilities:
- 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 fully remotely from home
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
- Bilingual candidates strongly preferred (Spanish and Vietnamese)
- Bilingual skills in Spanish, Korean, Mandarin, etc. nice-to-have
- Previous health plan or IPA experience nice-to-have
- Bachelor's Degree in Nursing (BSN) nice-to-have
- HIPAA compliant work space
- Must work Pacific Time hours
- Position is not open to LVNs; California RN license is required
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 Nevada, Arizona, North Carolina, and Texas RN licensure
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