Remote Manager, Care Management (CA RN Unrestricted License) 

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 Manager, Case Management demonstrates competency in the concepts, principles, strategies, and appli-cation of CM practices. The Supervisor position is responsible for: day-to-day outpatient case management activities, direct supervision of licensed and coordinator staff, and the promotion of quality care outcomes while supporting appropriate utilization and resource management along the continuum of care.Location: Remote (in the USA)
Schedule: Full-time (40 hours/must work PST hours)

About the Role

We are seeking a dynamic and experienced Manager of Care Management to lead a high-performing team of clinical professionals. In this fully remote leadership role, you will drive excellence in outpatient case management, ensuring high-quality care delivery, regulatory compliance, and optimal resource utilization across the continuum of care.This position is ideal for a proven RN leader who is passionate about coaching teams, improving outcomes, and making a meaningful impact in managed care.

What You’ll Do

• 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

Leadership Responsibilities

• Supervise a team of RN Case Managers and coordinators
• Lead hiring, onboarding, and training efforts
• Provide performance management, coaching, and development
• Plan, monitor, and evaluate team performance and outcomes

What You Bring

Required Experience

• 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

Education

• Associate’s or Bachelor’s degree in Nursing required
• BSN or MSN preferred

Licensure

• Active, unrestricted Registered Nurse (RN) license (required)
• CCM certification preferred

Key Skills & Expertise

• 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)
• Ability to interpret and analyze clinical and statistical reports

Work Environment & Requirements

• Fully remote role (U.S.-based)
• Must be able to work PST hours
• Ability to manage multiple priorities in a fast-paced environment

Physical Requirements

• Ability to sit, stand, walk, and use hands for extended periods
• Occasional lifting (up to 10 pounds)
• Visual focus for detailed documentation and screen use

Why Join Us

This is an opportunity to step into a high-impact leadership role where you can shape care management practices, develop clinical talent, and improve patient outcomes—all while working remotely.Pay Range: $98,550.00 - $147,825.00

Pay 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 https://reportfraud.ftc.gov/#/. 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 careers@ahcusa.com.

Originally posted on Himalayas