Alignment Healthcare USA, LLC
Hiring organization · Based in Orange, CA
On the floor
What the day-to-day looks like
- Shifts hiring now
- Rotating 1
Benefits
Health insurance, retirement plans, paid time off, life insurance; tuition reimbursement; bonuses and stock options noted on some hybrid in-home NP/PA postings.
What stands out
Experienced nurses
You can work remote complex care as a California RN, doing telephonic and video triage with posted pay in the mid-80s to high-120s.
Experienced nurses
If you prefer the field, Care Anywhere and Jump Start Assessment roles put you in members' homes for physician-led assessments and extra medical and social support.
Experienced nurses
Hybrid and in-home NP/PA postings list bonuses and stock options on top of base ranges that climb into the six figures.
As of 2026Source 1: talents.vaia.comSource 2: talents.vaia.comSource 3: alignmenthealth.com
New graduates
You get continuous learning, mentorship, career development paths, and a 12-month Rotational Leadership Program if you want to grow into leadership.
As of 2026Source: alignmenthealth.com
More about working here
Moving here
The company sits in Orange with a North OC base, and clinical benefits include health insurance, retirement plans, PTO, life insurance, plus tuition reimbursement on some postings.
As of 2021 · 2026Source 1: ir.alignmenthealth.comSource 2: alignmenthealth.comSource 3: talents.vaia.com
Experienced nurses
You would join a Medicare Advantage organization recognized on the Fortune 1000 and for 2026 pharmacy quality excellence, built around earlier coordinated care for seniors.
As of 2026-06-03 · 2026-05-14 · 2026Source 1: ir.alignmenthealth.comSource 2: alignmenthealth.comSource 3: alignmenthealthcare.gcs-web.com
Travel nurses
Remote RN Health Specialist work runs on a rotating Pacific Time schedule and needs an active California license, so short stints only fit if you already hold CA licensure and can live with PT hours.
Working conditions
- Scheduling
- RN Nurse Health Specialist role uses rotating Pacific Time schedule; remote CA RN license required
As of 2026Source: alignmenthealth.com
- Pay and benefits
- Remote Complex Care Registered Nurse, California residents only, active CA RN license required
As of 2026Source: indeed.com
- Pay and benefits
- Nurse Practitioner/Physician Assistant Full Time, home visits Wake County NC (JSA program)
As of 2026Source: indeed.com
- Pay and benefits
- Hybrid In Home Nurse Practitioner/Physician Assistant (CA preferred license)
As of 2026Source: talents.vaia.com
- Pay and benefits
- Nurse Practitioner/Physician Assistant must conduct home visits (El Paso posting)
As of 2026Source: talents.vaia.com
- Pay and benefits
- Bonuses and stock options mentioned for Hybrid In-Home NP/PA roles
As of 2026Source 1: talents.vaia.comSource 2: talents.vaia.com
Starting out and growing here
- Career development
- Continuous learning programs, mentorship, and career development opportunities; 12-month Rotational Leadership Program to develop healthcare leaders
As of 2026Source: alignmenthealth.com
The city
Living in Orange, CA
Orange, California offers classic Southern California suburban living with a historic heart. Old Towne Orange charms with antique shops, farmers markets, and the iconic roundabout plaza. With major hospital systems across Orange County within a short drive, it's a convenient, family-friendly base for working RNs.
Browse roles in Orange
- State price level · California
- 11% above the national average
- State index 110.7 (100 = national)
- Median gross rent
- $2,327/mo
- rent and tenant-paid utilities
- Median household income
- $117,113/yr
- all local households, not nurse pay
U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024
Who they are
You would be joining Alignment Healthcare out of Orange, California—a Medicare Advantage company built around seniors and people living with chronic illness, not a bedside hospital unit.
- Hiring rotating
More about Alignment Healthcare USA, LLC
Day to day that can mean remote complex care and virtual triage on phone and video, or Care Anywhere and Jump Start Assessment work that takes advanced practice clinicians into members' homes. The model is 24/7 on-demand access, with RNs escalating to APCs when the picture needs more than telehealth can hold. If you hold an active California RN license and live in-state, remote Complex Care RN postings have listed annual ranges from about $85,700 to $128,500, on a rotating Pacific Time schedule. NP and PA home-visit and hybrid roles post higher bands, and some list bonuses and stock options beside the usual health insurance, retirement, PTO, and life insurance. Tuition reimbursement and a 12-month Rotational Leadership Program show up for people who want structured growth. The honest constraint is licensure and clock: California is not a compact state, remote RN roles are California-resident only, and the virtual schedule follows Pacific Time. You get a North OC base near Old Towne and the freeways if you are local, and a public company that has been climbing the Fortune 1000 while publishing impact numbers on earlier, coordinated senior care.
Medicare Advantage care model aimed at seniors and chronically ill or frail members, with earlier coordinated care, 24/7 on-demand access, and in-home medical and social support at no cost to eligible members.
Working here
Culture and working life
What to consider
The good
- Remote Complex Care RN roles with posted range $85,696–$128,543 for CA-licensed California residents
- Virtual triage work plus in-home Care Anywhere and Jump Start Assessment programs
- Tuition reimbursement on clinical postings
- Mentorship, continuous learning, and a 12-month Rotational Leadership Program
- Benefits that include health insurance, retirement plans, PTO, life insurance, with bonuses and stock options on some NP/PA postings
- Fortune 1000 recognition and 2026 Medicare Advantage pharmacy quality award
The hard parts
- California is not a nursing-compact state; active CA RN license required
- Remote complex care RN roles limited to California residents
- RN Nurse Health Specialist schedule rotates on Pacific Time
- No formal new-grad residency listed in available facts
What to weigh
California is not a nursing-compact state, and remote complex-care RN roles are limited to California residents with an active CA license on a rotating Pacific Time schedule.
The reality check
Before you decide
Quick facts
- Roles last seen active
- Jul 24, 2026
- Website
- alignmenthealth.com ↗
Weighing a first job here?
The license clock and the job hunt run at once, and new-grad windows do the deciding. Residency commitments carry fine print worth reading before you sign.
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A closer look at the units
Open counts come from the live roles below. Source links show where unit details were reported.
- ICURotating 11 open
Virtual Care Center / triage
RN Nurse Health Specialist serves as frontline triage nurse providing telephonic and video-based clinical support and escalating to APC when appropriate.
Source location unconfirmedSource: alignmenthealth.com
Care Anywhere (CAW) / in-home
APC program provides additional medical and social support in the patient's home at no cost to eligible Alignment patients.
Source location unconfirmedSource: talents.vaia.com
Jump Start Assessment (JSA)
Field Remote Advanced Practice Clinician program is physician-led and APC-driven for assessments.
Source location unconfirmedSource: indeed.com
Complex Care (remote RN)
Remote Complex Care RN roles require telehealth/virtual care experience and remote clinical monitoring; CA or AZ license-specific postings.
Source location unconfirmedSource: indeed.com
Open roles
Roles from Alignment Healthcare USA, LLC
Refreshed throughout the day.
RN Nurse Health Specialist (Remote | California RN License Required | Rotating Pacific Time Schedule)
$47/hr
Alignment Healthcare USA, LLCOrange, CA
- RN
- Rotating shift
- Compact license OK
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