Manager, Care Management – CA RN Unrestricted License

Alignment Health

Manager of Care Management leading outpatient case management and team development in a fully remote setting. Ensuring quality care delivery and regulatory compliance for senior healthcare.

Posted 6/24/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $98,550 - $147,825 per yearWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

RN Case Managementclinical data analysiscare coordinationperformance managementproject managementprotocol developmentworkflow implementationaudit readinesschart reviewdocumentation compliance

Soft Skills

leadershipmentoringcoachingcommunicationcollaborationorganizational skillsproblem-solvingdecision-makingprioritizationdelegation

Tools & Technologies

Microsoft OfficeWordExcelOutlook

Certifications & Qualifications

Registered Nurse (RN) licenseCCM certification

Industry Keywords

Medicare Managed Care Planshealthcare settingcase management processesoutpatient case managementtransitions of careteam managementregulatory standardsorganizational policiesperformance improvementcross-functional collaboration

About the role

Key responsibilities & impact

Lead, mentor, and develop a team of RN Case Managers, ensuring alignment with organizational policies and regulatory standards
Oversee daily outpatient case management operations, including referrals, transitions of care, and care coordination
Maintain audit readiness by coordinating chart reviews and monitoring case management processes
Train and onboard new staff while providing ongoing coaching and performance feedback
Assign and prioritize team workload to ensure efficiency and quality outcomes
Collaborate cross-functionally with Medical Directors, Quality, and Compliance leadership
Manage escalated cases and step in to perform case management duties as needed
Ensure accurate and compliant documentation across all team activities
Analyze and report clinical and program data to leadership to support continuous improvement
Support the development and implementation of protocols, workflows, and best practices
Supervise a team of RN Case Managers and coordinators
Lead hiring, onboarding, and training efforts
Provide performance management, coaching, and development

Requirements

What you’ll need

5+ years of RN Case Management experience (or equivalent combination of education and experience)
At least 1 year of leadership or supervisory experience in a healthcare setting
Associate’s or Bachelor’s degree in Nursing required
Active, unrestricted Registered Nurse (RN) license (required)
CCM certification preferred
Strong knowledge of Medicare Managed Care Plans
Proven leadership and team management experience
Ability to manage projects and initiatives to improve performance
Skilled in organizing, prioritizing, and delegating work
Excellent communication and collaboration skills across diverse teams
Strong analytical, problem-solving, and decision-making abilities
Proficiency in Microsoft Office (Word, Excel, Outlook)

Benefits

Comp & perks

Health insurance
401(k) matching
Flexible work arrangements
Professional development opportunities