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Alignment Healthcare USA, LLC

Hiring nurses in Fresno, CA

  • Hiring rotating
See 2 open roles
Alignment Healthcare USA, LLC photo

From 2 postings and the employer’s site · Employer research Jul 29, 2026Sources

The short version

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.

Employer research, Jul 29, 2026

  1. 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.

    For experienced nurses
    Sources
  2. 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.

    For experienced nurses
    Sources
  3. Hybrid and in-home NP/PA postings list bonuses and stock options on top of base ranges that climb into the six figures.

Who it fits

Not a fit

Nursing here

Career development

Continuous learning programs, mentorship, and career development opportunities; 12-month Rotational Leadership Program to develop healthcare leaders

Alignment Healthcare USA, LLC · employer research

Sources
Tuition support

Tuition reimbursement offered

Alignment Healthcare USA, LLC · employer research

Sources
Scheduling

RN Nurse Health Specialist role uses rotating Pacific Time schedule; remote CA RN license required

Alignment Healthcare USA, LLC · employer research

Sources

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.

Published pay and benefits

Annual pay

$85,696-$128,543/year

Remote Complex Care Registered Nurse, California residents only, active CA RN license required

As of 2026

Annual pay

$109,932-$164,899/year

Nurse Practitioner/Physician Assistant Full Time, home visits Wake County NC (JSA program)

As of 2026

Annual pay

Hybrid In Home Nurse Practitioner/Physician Assistant (CA preferred license)

As of 2026

Sources
Annual pay

Nurse Practitioner/Physician Assistant must conduct home visits (El Paso posting)

As of 2026

Sources
Benefits

Bonuses and stock options mentioned for Hybrid In-Home NP/PA roles

As of 2026

Sources

The units

  • 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.

    Sources
    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.

    Sources
    Source location unconfirmedSource: talents.vaia.com
  • Jump Start Assessment (JSA)

    Field Remote Advanced Practice Clinician program is physician-led and APC-driven for assessments.

    Sources
    Source location unconfirmed
  • Complex Care (remote RN)

    Remote Complex Care RN roles require telehealth/virtual care experience and remote clinical monitoring; CA or AZ license-specific postings.

    Sources
    Source location unconfirmed

The hard parts

  • 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.

    Sources
  • California is not a nursing-compact state; active CA RN license required

    Employer research, Jul 29, 2026

  • Remote complex care RN roles limited to California residents

    Employer research, Jul 29, 2026

  • RN Nurse Health Specialist schedule rotates on Pacific Time

    Employer research, Jul 29, 2026

What to ask

  • How is base pay set for the role, and which differentials apply?
  • Which shifts are open, and what are the weekend, holiday and call rules?
  • How long is orientation, and will I have one preceptor?
  • What does a usual day’s workload look like?
  • Where would I work, and on which unit or team?

Common questions

Does Alignment Healthcare USA, LLC hire new grads?

All 2 roles ask for nursing experience, and none says it welcomes new grads.

How do I apply?

Choose a role and press Apply. Your application comes to our team, we send it to Alignment Healthcare USA, LLC, and we tell you what happens next.

Roles from Alignment Healthcare USA, LLC

Alignment Healthcare USA, LLC logo

Alignment Healthcare USA, LLC

Orange, CA

  • RN
  • Rotating shift
  • Compact license OK
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From nurses, to nurses

Keep something in your week that has nothing to do with nursing. You still get to be a person when you take the scrubs off.

On life outside work

Get to know the techs and CNAs, and help when you can. A shift feels different when you know you're looking out for each other.

On your coworkers