Inpatient Review Nurse, California RN/LVN License Required, Part-Time, Weekends, Pacific Time Schedule

Alignment Health

Remote Part-Time Weekend Inpatient Review Nurse in Utilization Management for seniors at Alignment Health. Involves care coordination and patient evaluations in a managed care setting.

Posted 7/21/2026part-timeRemote • California • 🇺🇸 United StatesMid-LevelSenior💰 $77,905 - $116,858 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in case management, including the application of Milliman Care Guidelines for inpatient care decisions and effective communication with patients and healthcare providers. Holds an active LVN or RN license in California, ensuring compliance with state regulations.

Highest-signal resume keywords

Case Management SkillsMilliman Care GuidelinesInpatient Care ManagementLicensed Vocational Nurse (LVN) LicenseManaged Care Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Inpatient Case ManagementCare CoordinationPatient EvaluationEvidence-Based GuidelinesReferral Generation

Soft Skills

Effective CommunicationCollaborationPatient Advocacy

Certifications & Qualifications

Licensed Vocational Nursing Program

Industry Keywords

Managed CareAmbulatory CareHealthcare CoordinationPatient Support Systems

About the role

Key responsibilities & impact

Performs reviews of inpatients with complex medical and social problems
Generates referrals to contracted ancillary service providers and community agencies with the agreement of the patient’s primary care physician
Performs follow-up reviews and evaluations of patients in the ambulatory care or lower level of care setting
Reviews inpatient admissions timely and identifies appropriate level of care and continued stay based on acceptable evidence-based guidelines used by AHC
Effectively communicates with patients, their families and or support systems, and collaborates with physicians and ancillary service providers to coordinate care activities

Requirements

What you’ll need

Minimum 3 years of general case management skills
Minimum of two years of experience utilizing Milliman Care Guidelines to justify Inpatient versus Observation Length of stay
Two consecutive years related experience in a managed care setting as an inpatient case manager
Successful completion of an accredited Licensed Vocational Nursing Program
Must have and maintain an active, valid, and unrestricted LVN or RN license in California (Non-Compact)

Benefits

Comp & perks

Health insurance
Flexible work arrangements
Professional development opportunities