Bilingual Spanish RN Case Manager – Medicare Special Needs Program, Active California RN License Required

Alignment Health

. Coordinate care as a resource for members, families, and physicians .

Posted 10/9/2026full-timeRemote • California • United StatesJuniorMid-Level💰 $77,905 - $116,858 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination, case management, and chronic condition management while ensuring compliance with health information regulations. Proficient in utilizing community resources and providing tailored education and support to members.

Highest-signal resume keywords

RN Licensure In CaliforniaCase Management ExperienceChronic Condition ManagementEffective Communication SkillsPC-Based Software Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical ExperienceCare CoordinationComprehensive AssessmentsTreatment PlansMathematical CalculationsStatistical AnalysisProblem-SolvingOrganizational SkillsTime Management

Soft Skills

Effective Written CommunicationEffective Oral CommunicationAdvanced Reasoning

Tools & Technologies

WordExcelPowerPoint

Certifications & Qualifications

Active RN License In CaliforniaLVN And/or RN Licensure In NevadaRN Licensure In ArizonaRN Licensure In North CarolinaRN Licensure In Texas

Industry Keywords

Care ManagementHealth Information ComplianceCommunity ResourcesHome HealthFunding Options

About the role

Key responsibilities & impact

Coordinate care as a resource for members, families, and physicians
Ensure access to appropriate care for urgent or immediate needs by facilitating referrals and authorizations
Complete comprehensive assessments covering health status, resource utilization, treatment plans, and services
Collaborate with members, PCPs, and care teams to implement care plans
Interface with Primary Care Physicians, Hospitalists, Nurse Practitioners, and specialists on care-management treatment plans
Provide education and self-management support tailored to members’ learning styles
Assist with provider, claims, and service issues
Work with delegated or contracted providers, groups, and entities to ensure effective care coordination
Maintain confidentiality of protected health information in compliance with law and company policy
Reach out to and connect with members by telephone
Deliver care using the nursing process for members with complex and chronic care needs

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 of understanding of community resources, treatment options, home health, funding options, and special programs
Extensive knowledge of management of chronic conditions
Effective written and oral communication skills
Ability to operate 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 reasoning to define problems, collect data, establish facts, draw conclusions, and manage resolutions
Effective problem-solving, organizational, and time-management skills
Ability to comprehend and analyze statistical reports
Must be willing to work 8:00am–5:00pm Pacific Time

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