Care Ally, SW/LPN/RN Case Manager - Remote - PST Hours

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults—and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities. Founded in 2021, we've grown quickly—now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for. Ranked #147 on the Inc. 5000 list of America's fastest-growing private companies, we're just getting started. If you're looking to make a meaningful impact on the senior healthcare landscape, you're in the right place—and we look forward to working with you. For more information about our company, visit CuranaHealth.com. To learn more about our health plan offerings please visit alignseniorcare.com. Summary At Curana Health, we know that care is more than clinical checklists—it is about truly seeing and supporting the whole person. As a Care Ally Case Manager, you will be the trusted connection point between our members, their families, care teams, and our internal partners. You will guide, advocate, and coordinate care so that every member feels heard, cared for, and supported in living their healthiest life. Essential Duties & Responsibilities Responsibilities Be the bridge: Serve as the go-to liaison between members, families/POAs, providers, and the Align Senior Care team. Assess & plan holistically: Conduct comprehensive health assessments, create personalized care plans, and participate in interdisciplinary team meetings to ensure members’ needs are met. Coach & educate: Act as a health coach—empowering members and families with knowledge about conditions, treatment plans, benefits, and community resources. Support daily needs: Help members navigate appointments, medications, supplemental benefits, and transitions between care settings. Stay connected: Check in regularly (in person or by phone) to track progress, provide encouragement, and address new needs as they arise. Advocate & resolve: Work across departments to resolve billing issues, grievances, or utilization management needs—always keeping the member experience front and center. Coordinate care: Facilitate communication with physicians, APPs, and facility teams to ensure seamless, patient-centered care. Contribute strategically: Support leadership initiatives and partner with account managers to identify preferred providers and strengthen community partnerships. Complete Model of Care responsibilities: Support required Model of Care activities, including member outreach, health risk assessments, individualized care plan development, interdisciplinary care team participation, documentation, member education, and follow-up on identified care gaps, barriers, and transitions of care. What Makes This Role Meaningful You’ll have direct, ongoing relationships with members and families—seeing firsthand the impact of your care and advocacy. You’ll work with a collaborative, interdisciplinary team that values your expertise and input. You’ll play a key role in shaping member experience and bringing Curana Health's mission to life. Qualifications Education & Experience One (1) year of clinical practice experience in at least one of the following areas: case management, home health, critical care, medical/surgical, discharge planning, concurrent review, or obstetric/neonatal care. Proficiency using basic computer skills in Microsoft Office such as Word, Excel, and Outlook, including the ability to navigate multiple systems and keyboarding. Case management certification preferred. Bilingual in Spanish preferred Comparable work experience in care coordination, case management, social services, managed care, or senior healthcare may be considered in lieu of licensure Professional Certification Or Licenses LPN/LVN/RN nurse license, active and unencumbered state license in the state where job duties are performed is required. BSN preferred OR Active Licensed Social Worker (LSW). Bachelor's degree in social work (BSW)