Remote RN Case Manager - Care Transitions - Bilingual Spanish - California RN Li

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. Responsible for health care management and coordination within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Coordinates and monitors Alignment Health care member’s progress and services to ensure consistent cost-effective care that complies with Alignment policy and all state and federal regulations and guidelines. Performs duties mostly telephonically. Remote Case Manager – Transitions of Care Nurse (CA RN License) Are you a California-licensed RN passionate about guiding patients through safe, seamless care transitions? Join our team as a Remote Case Manager , where you’ll make a direct impact on patient outcomes by coordinating discharge planning, referrals, and community resources. What You’ll Do: 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.