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Bilingual Spanish Telephonic RN Nurse Case Manager – Special Needs Plan
Alignment Health. Provide telephonic case management to medically complex and chronically ill Special Needs Plan members .
Posted 11/10/2026full-timeRemote • Pennsylvania • United StatesJuniorMid-Level💰 $77,905 - $116,858 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in telephonic case management for medically complex and chronically ill patients, with a strong focus on conducting health assessments, creating individualized care plans, and coordinating care among various healthcare providers. Proficient in utilizing Microsoft Office tools and maintaining HIPAA compliance in a remote work environment.
Highest-signal resume keywords
Active RN License In CaliforniaClinical Nursing ExperienceCase Management ExperienceProficiency With Microsoft OfficeHIPAA Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Telephonic Case ManagementHealth AssessmentsIndividualized Care PlansCare CoordinationDisease Management EducationProgress MonitoringIntervention AdvocacyService Issue Resolution
Soft Skills
CommunicationAdvocacyProblem-Solving
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft OutlookMicrosoft Teams
Certifications & Qualifications
Active RN License In CaliforniaWillingness To Obtain RN Licensure In Other States
Industry Keywords
Special Needs PlanChronic Illness ManagementPatient AdvocacyHealthcare Coordination
About the role
Key responsibilities & impact- 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 Pacific Time hours from a home-based environment
Requirements
What you’ll need- Active, unrestricted RN license in California (Non-Compact)
- 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 (company reimburses costs)
- HIPAA-compliant workspace
- California RN license is required; position is not open to LVNs
Benefits
Comp & perks- 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