Bilingual RN Case Manager, SNP – California RN License

Alignment Health

. Manage and coordinate healthcare for members with complex and chronic care needs within scope of licensure .

Posted 9/22/2026full-timeRemote • California • United StatesJuniorMid-Level💰 $77,905 - $116,858 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing complex healthcare needs through effective case management, comprehensive assessments, and collaboration with interdisciplinary teams. Proficient in chronic condition management and maintaining compliance with healthcare regulations.

Highest-signal resume keywords

RN Licensure in CaliforniaCase Management ExperienceChronic Condition ManagementEffective Communication SkillsProficiency in PC-Based Software

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Comprehensive AssessmentsCare CoordinationTreatment Plan ImplementationMathematical CalculationsStatistical Report Analysis

Soft Skills

Problem-Solving SkillsOrganizational SkillsTime-Management SkillsRelationship BuildingLeadership Abilities

Tools & Technologies

WordExcelPowerPoint

Certifications & Qualifications

Active RN License in CaliforniaLVN and/or RN Licensure in Nevada, Arizona, North Carolina, Texas

Industry Keywords

Healthcare ManagementChronic Care NeedsInterdisciplinary Team CollaborationCare Gaps ResolutionConfidentiality Compliance

About the role

Key responsibilities & impact

Manage and coordinate healthcare for members with complex and chronic care needs within scope of licensure
Deliver care using the nursing process
Interact with members, caregivers, and interdisciplinary team participants
Help close care gaps and resolve barriers to improved health
Reach out to and connect with members by telephone
Coordinate care as a resource for members, families, and physicians
Ensure access to appropriate care for urgent or immediate needs
Facilitate referrals and authorizations within the benefit structure
Complete comprehensive assessments of health status, resource utilization, treatment plans, and services
Collaborate with members, PCPs, and care teams to implement care plans
Interface with physicians, hospitalists, nurse practitioners, and specialists on care-management treatment plans
Provide education and self-management support
Assist providers with claims or service issues
Coordinate with delegated or contracted providers, groups, and entities
Maintain confidentiality of protected health information in compliance with law and company policy

Requirements

What you’ll need

Minimum 2 years' clinical experience
Minimum 1 year case management experience
Successfully passing post-high-school courses to obtain an RN licensure or AS in Nursing
Must have and maintain an active, valid, and unrestricted RN license in California (Non-Compact)
Immediately upon hire, must be willing to obtain LVN and/or RN licensure in Nevada (Non-compact), Arizona (Compact), North Carolina (Compact), and Texas (Compact)
High-level understanding of community resources, treatment options, home health, funding options, and special programs
Extensive knowledge of chronic condition management
Effective written and oral communication skills
Ability to establish and maintain constructive relationships with diverse members, management, employees, and vendors
Ability to communicate positively, professionally, and effectively; provide leadership, teach, and collaborate
Proficiency in PC-based software, including Word, Excel, and PowerPoint
Ability to perform mathematical calculations and calculate simple statistics
Ability to prioritize multiple tasks and use advanced problem-solving and reasoning
Effective problem-solving, organizational, and time-management skills; ability to work in a fast-paced environment
Ability to comprehend and analyze statistical reports

Benefits

Comp & perks

LVN and/or RN licensure in Nevada, Arizona, North Carolina, and Texas will be reimbursed by company
Equal Opportunity/Affirmative Action Employer