Remote Manager, Care Management (CA RN Unrestricted License)

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.

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