Alignment Healthcare USA, LLC
Remote-Manager, Case Management SNP (California RN License
Remote Arizona · Senior · Full-time
Sponsorship not specified$113k-$170kDetected 30 days ago
ComplianceProject ManagementRecruitingEHR/EMRLeadershipCommunicationCollaborationProblem Solving
About the role
- 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.
- We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.
- Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them.
Responsibilities
- Lead, coach, and develop a high-performing case management team serving SNP members
- Monitor operational and quality performance metrics and implement improvement strategies
- Collaborate cross-functionally with:
- Analyze reporting trends and operational data to support strategic decision-making
- Support program growth and operational excellence within the Medicare Advantage SNP population
Requirements
- Associate's or Bachelor's Degree in Nursing
- Minimum 5 years of clinical case management experience
- Strong understanding of:
- California RN License Required
- Active, unrestricted California RN license
- Minimum 1 year of experience supporting SNP programs within a health plan environment
- Willingness to obtain RN licensure in additional company markets, if needed
Nice to have
- Case Management certification (CCM, ACM, or equivalent)
- Experience with utilization review criteria such as MCG guidelines
- Skills for Success
Skills
- Strong leadership and team development capabilities
- Excellent communication and relationship-building skills
- Experience working with EHR systems and healthcare technology platforms
- Strong organizational, project management, and problem-solving abilities
- Ability to thrive in a fast-paced, collaborative, remote environment
- Fully remote flexibility
- Meaningful work improving outcomes for high-risk Medicare populations
- Collaborative, mission-driven culture focused on quality care and innovation
- Ability to influence and enhance case management programs at scale
- Competitive compensation and benefits package
- Regularly required to communicate effectively via phone and video conferencing
- Frequent sitting, standing, typing, and computer use
Compensation
- $113,332.00 - $169,999.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Benefits
- In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community.
- Monitors activities to support the timeliness of Health Risk Assessment (Initial and Reassessment) completion, Individualized Care Plan (ICP) development and Interdisciplinary Care Team (ICT) delivery for SNP members.
- The Remote - Manager, Case Management SNP is responsible for the health care management and coordination of care for members with complex and chronic care needs.
Company info
- It takes an entire team of passionate and caring people, united in our mission to put the senior first.
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