Central California Alliance for Health is hiring a
Senior Complex Case Manager (RN) Pediatrics

Summary

The job is a temporary Senior Complex Case Manager (Temporary) position at the Alliance, lasting through the summer. The ideal candidate should have managed care plan experience, with Pediatrics case management or insurance experience being beneficial. The role involves developing and managing an individualized comprehensive plan of care for members.

Requirements

• Knowledge of the principles and practices of clinical nursing, the principles and practices of case management, care management and coordination, evidence-based practice guidelines in the development of care plans, and the use of Windows-based PC systems and Microsoft Word, Outlook, PowerPoint and Excel
• Ability to demonstrate strong critical thinking and problem-solving skills, interpret and apply policies and regulations, define issues, conduct research, interpret data, and evaluate options, evaluate medical records and other health care data, organize work and manage complex priorities, create and edit documents, letters and reports, communicate effectively with a diverse population of members, including those with behavioral health issues, exercise good judgement and tact when relating to health care providers and beneficiaries, work independently and work collaboratively as a member of a team
• Current unrestricted license as a Registered Nurse issued by the State of California, Associate's degree in Nursing and a minimum of seven years of experience in a patient care setting, including at least one year of case management experience (a Bachelor's degree may substitute for two years of the required experience); or an equivalent combination of education and experience which would provide the required knowledge, skills and abilities

Responsibilities

Develop and manage an individualized comprehensive plan of care for members referred into the assigned Case Management Program

Preferred Qualifications

Pediatrics case management experience, any case management or insurance experience

Benefits

Medical, Dental and Vision Plans, Ample Paid Time Off, 12 Paid Holidays per year, 401(a) Retirement Plan, 457 Deferred Compensation Plan, Robust Health and Wellness Program, Onsite EV Charging Stations