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Manager, Case Management – RN License Required
Alignment HealthManager overseeing high-performing case management team for Medicare Advantage SNP at Alignment Health. Driving compliance and quality care outcomes for members with complex healthcare needs.
Posted 6/18/2026full-timeRemote • California • 🇺🇸 United StatesMid-LevelSenior💰 $113,332 - $169,999 per yearWebsite
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
clinical case managementhealth risk assessmentsindividualized care plansinterdisciplinary care team activitiesquality performance metricscare coordinationpopulation health strategies
Soft Skills
leadershipcoachingteam developmentcollaboration
Certifications & Qualifications
California RN license
Industry Keywords
Medicare AdvantageSNP programsCMS Model of CareHEDISSTARSquality improvement
About the role
Key responsibilities & impact- Oversee day-to-day operations of an integrated care management team supporting Medicare Advantage SNP members
- Ensure compliance with CMS Model of Care requirements
- Drive quality, efficiency, and member-centered outcomes
- Lead, coach, and develop a high-performing case management team
- Ensure timely completion of Health Risk Assessments, Individualized Care Plans, Interdisciplinary Care Team activities
- Monitor operational and quality performance metrics
- Collaborate cross-functionally with Utilization Management, HEDIS/STARS, Quality Improvement, Provider and Clinical Operations teams
Requirements
What you’ll need- Active, unrestricted California RN license
- Associate’s or Bachelor’s Degree in Nursing
- Minimum 5 years of clinical case management experience
- Minimum 1 year of experience supporting SNP programs within a health plan environment
- Willingness to obtain RN licensure in additional company markets, if needed
- Strong understanding of CMS SNP Model of Care
- Medicare Advantage regulations
- Care coordination and population health strategies
Benefits
Comp & perks- Fully remote flexibility
- Opportunity to lead and grow within a rapidly expanding organization
- 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