Job Description
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.The Case Manager – Transitions of Care (Outpatient) ensures a smooth transition for members after a hospital or Skilled nursing facility discharge by coordinating care, providing resources, and educating members/families about the post discharge care plan to support optimal health outcomes. Responsibilities include all aspects and activities responsible for monitoring the delivery of care to Alignment Healthcare members. Location: Remote (Must have an active California RN license) Job Type: Full-Time | Temporary (through 12/31/2025)**About the Role**We’re looking for a dedicated RN Care Manager to join our Transitions of Care (TOC) team. This role plays a critical part in helping our members successfully recover after a hospital or skilled nursing facility stay. You’ll coordinate care, connect members with resources, and ensure a smooth transition from facility to home—all while working remotely.You’ll primarily interact with members and providers by phone, ensuring patients have the support they need to stay healthy and avoid unnecessary readmissions.**What You’ll Do*** Create personalized post-discharge care plans* Coordinate follow-up care, services, and resources* Educate members and families about medications, appointments, and care instructions* Help navigate questions about insurance, eligibility, or care needs* Collaborate with hospitals, home health agencies, and other care providers* Maintain accurate documentation of all care coordination activities* Participate in internal team meetings and quality improvement efforts**Who You Are*** Licensed RN in California (required)* 2+ years of care management experience (required)* Experience in Medicare Managed Care or similar setting* Strong communication, time management, and problem-solving skills* Comfortable working independently in a fast-paced, remote environment* Willing to obtain licensure in additional states (company reimburses fees)**Preferred:*** Case Management Certification (CCM or equivalent)* Knowledge of HEDIS and Risk Adjustment programs**Work Schedule*** Monday–Friday | 8:00 AM – 5:00 PM PT* Fully Remote (Work from home)**Why This Role Matters**This is a temporary position helping fill a critical gap in our TOC team. Your work directly impacts member health outcomes and supports a team dedicated to compassionate, high-quality care.**Join us in transforming how care is delivered after discharge—one member at a time.**Essential Physical Functions:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.Pay Range: $85,696.00 - $128,543.00Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.**DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at . If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].* #J-18808-Ljbffr
Salary: USD 85696 - 128543 per year
Experience: 3 years required
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