Full-Time

Bilingual Spanish Nurse Case Manager

Care Transitions, RN

Updated on 7/21/2026

Deadline 7/31/26
Alignment-Health

Alignment-Health

1,001-5,000 employees

Medicare Advantage plans with on-demand care

Compensation Overview

$85.7k - $128.5k/yr

Remote in USA

Remote

California RN license required; may obtain additional state licenses.

Category
Medical, Clinical & Veterinary (1)

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Requirements
  • 2–3 years of clinical care management experience (3–5 years preferred)
  • Active, unrestricted registered nursing license in California (willing to obtain other state licenses)
  • Knowledge of Medicare Managed Care Plans, insurance regulations, and community resources
  • Strong communication, problem-solving, and organizational skills
Responsibilities
  • Create individualized discharge plans with patients, families, and the care team.
  • Coordinate care with providers, rehab facilities, and home health agencies.
  • Monitor patient progress and adjust plans as needed.
  • Educate and empower patients and families for self-care and follow-up.
  • Advocate for patient needs and connect them to community support services.
  • Participate in care conferences, quality improvement initiatives, and interdisciplinary collaboration.

Alignment Health delivers Medicare Advantage plans for seniors, offering 24/7 access to healthcare through in-person, in-home, or telehealth options. Plans are funded by premiums paid by Medicare beneficiaries and federal reimbursements, with a focus on coordinated care supported by provider-facing technology to improve delivery and efficiency. Differentiation comes from pairing high-touch, VIP-level service with affordable pricing and technology-driven care coordination. The overarching goal is to simplify and enhance the healthcare experience for seniors by providing accessible, high-quality care without excessive costs.

Company Size

1,001-5,000

Company Stage

IPO

Headquarters

Orange, California

Founded

2013

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Simplify Jobs

Simplify's Take

What believers are saying

  • U.S. News named Alignment a 2026 Best Insurance Company for Medicare Advantage across all five states it operates.
  • Medicare Advantage membership grew 30.9% year-over-year to 284,800 members in Q1 2026, reflecting strong market expansion.
  • Provider-alignment model reduces avoidable hospitalizations through interdisciplinary Care Anywhere team management for stratified members.

What critics are saying

  • CMS 2027 rate cuts of 4.5% combined with stricter audits will erode margins and trigger member churn in 12-18 months.
  • UnitedHealthcare's 2026 enrollment push with 15% lower premiums will capture 20-25% of growth pipeline, stalling membership below 300K by 2027.
  • New federal MLR audit requiring 90%+ will force $180M+ refunds plus premium hikes, triggering a $95M net loss in 2026.

What makes Alignment-Health unique

  • Alignment's provider model guarantees PCP revenue via monthly payments and stratifies members for interdisciplinary Care Anywhere teams.
  • Strategy targets seniors with multiple chronic conditions using advanced data analytics and personalized attention for clinical differentiation.
  • Alignment earned a 5-star Medicare Advantage HMO rating in Nevada and North Carolina for 2026, proving high-quality delivery.

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Growth & Insights

Headcount

6 month growth

10%

1 year growth

10%

2 year growth

10%