Senior Complex Case Manager - D-SNP (RN) (Temporary)

OUR COMMITMENT TO A HUMAN HIRING PROCESSWe believe every candidate deserves thoughtful consideration.That'swhy wedo not use AI or automated systems toreview applications. Every application is reviewed bya realhumanmember of our team. Because we take the time to give each submission the attention it deserves, our review process may take a little longer - and we genuinely appreciate your patience as we work through applications carefully and respectfully.SERVICE AREA PREFERENCEWhile we encourage all interested applicants to apply, we do give priority to those who live in,or near, our service counties:Santa Cruz, Monterey, Merced, San Benito, and Mariposa. Our mission ofaccessible, quality health care guided by local innovationleadseverything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment.ABOUT THIS TEMP POSITION This is a temporary position and the length of assignment is estimated to go from April 2026 through December 2026. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with.There is 1 full-time (40 hours/week) opportunities available for this temporary assignment.WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Medicare Care Management Manager (RN), this position:Develops and manages an individualized comprehensive plan of care for Medicare Dual Eligible Special Needs Plan (D-SNP) members referred into the Case Management Program with the goal of promoting optimal, achievable outcomes in the most cost effective and appropriate mannerWorks with and educates members, families, providers, external agencies, and internal departments on the D-SNP Case Management ProgramParticipates in Quality Improvement studies, to continually evaluate the program's effectiveness and ability in promoting quality driven, cost effective, achievable goals and outcomes for membersPerforms D-SNP Program oversight and support activitiesActs as a liaison between the D-SNP Program and providers and community agencies to promote effective implementation of program objectives and requirementsWHAT YOU'LL NEED TO BE SUCCESSFULTo read the full position description, and list of requirements click here .Knowledge of:The principles and practices of clinical nursingThe principles and practices of case management, including motivational interviewing and evidence-based guidelinesCare management and coordinationComplex chronic conditions, geriatric care, and psychosocial factors impacting health outcomesThe principles and practices of developing and implementing health improvement strategies to address social determinants of healthEvidence-based practice guidelines in the development of care plansElectronic health record and/or care management platformsAbility to:Assess member risk, define problems, develop care plans, and collaborate across disciplinesDemonstrate strong critical thinking and problem-solving skillsInterpret and apply policies and regulationsDefine issues, conduct research, interpret data, and identify and evaluate optionsEvaluate medical records and other health care dataOrganize work, manage complex priorities, and document with accuracy and timelinessCommunicate effectively with a diverse population of members, including those with behavioral health issuesEducation and Experience:Current unrestricted license as a Registered Nurse issued by the State of CaliforniaAssociate's degree in Nursing and a minimum of seven years of experience in a patient care setting, including a minimum of 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 may be qualifyingA minimum of one year of the required patient care experience must be in an acute or outpatient environment, working with adults and/or dual-eligible populations EducationOTHER INFORMATIONWe are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.This is a temporary position and does not provide the benefits that are listed below (it is standard language from our regular job posts and cannot be altered or removed). Temporary employees on assignment at the Alliance will be connected to a staffing agency with separate benefit options.COMPENSATION INFORMATIONZone 1 Pay Range: $48.97 - $63.66 USDTypical areas in Zone 1: Santa Cruz, San Benito, and Monterey Counties, Bay Area, Sacramento, Los Angeles and San Diego areasZone 2 Pay Range: $45.99 - $59.79 USDTypical areas in Zone 2: Mariposa and Merced Counties, Fresno area, Bakersfield, Eastern California, San Luis Obispo area, and the Central Valley (except Sacramento)The applicable salary ranges are based on work location and are aligned to a zone according to the cost of labor in your area. All ranges are subject to change in the future. We are happy to answer any questions that you have or share the applicable pay zone for your location if it's not one of the typical areas included below. You can reach out to careers@thealliance.health , and a member from our Talent Acquisition team will be in touch.The posted hiring ranges represent a goodfaith estimate of what a temporary employee would be paid on this assignment. Final compensation will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education, or training), as well as other factors (internal equity, market factors, and geographic location).OUR BENEFITS Available for all regular Alliance employees working more than 30 hours per week.Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.Medical, Dental and Vision PlansAmple Paid Time Off12 Paid Holidays per year401(a) Retirement Plan457 Deferred Compensation PlanRobust Health and Wellness ProgramOnsite EV Charging StationsABOUT US We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at ourFact Sheet.The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employerAt this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.