Address
Form of workThis position is 40 hours per 2-week pay period (16 hours one week, 24 hours the next week).
WHAT YOU'LL BE RESPONSIBLE FOR
To read the full position description, and list of requirements click here.
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).
Santa Cruz County Pay Range
$40.93-$65.50 USD
Merced County Pay Range
$37.33-$59.74 USD
Monterey County Pay Range
$40.93-$65.50 USD
Mariposa County Pay Range
$37.33-$59.74 USD
San Benito County Pay Range
$40.93-$65.50 USD
OUR BENEFITS
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 our Fact 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 employer
At 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.
WHAT YOU'LL BE RESPONSIBLE FOR
- Performing concurrent or post-service (retrospective) review of acute in-patient care services using established criteria
- Participating in the Utilization Management (UM) Care Programs
To read the full position description, and list of requirements click here.
- Knowledge of:
- Utilization Management, and/or Case Management principles and practices
- Medi-Cal and related policies and Title 22 regulations
- Ability to:
- Demonstrate strong critical thinking and problem solving skills
- Use MS Office Software Suite
- Use a laptop for medical documentation and chart review
- Navigate and evaluate electronic medical records and other health care data in order to determine the appropriate level of care
- Give clear direction and sequence information verbally, so others can follow and understand
- Education and Experience:
- Current unrestricted license as a Registered Nurse issued by the State of California
- Associate's degree in Nursing and a minimum of three years (or a Bachelor's degree and one year) of experience in an acute care setting, which included some experience in Utilization Management, Case Management or similar health programs; or an equivalent combination of education and relevant work experience may be qualifying
- While this position is connected to one of our Alliance offices, we are in hybrid remote/in-office work environment right now and we anticipate that the interview process will take place remotely.
- Our Alliance office locations have officially re-opened as of May 2, 2022 and while some employees may work in full-time telecommute schedules, attendance at quarterly company-wide events or department meetings will be expected.
- Based on the nature of work, this position may require onsite presence, which is dependent on business need. Details about this can be reviewed during the interview process.
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).
Santa Cruz County Pay Range
$40.93-$65.50 USD
Merced County Pay Range
$37.33-$59.74 USD
Monterey County Pay Range
$40.93-$65.50 USD
Mariposa County Pay Range
$37.33-$59.74 USD
San Benito County Pay Range
$40.93-$65.50 USD
OUR 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
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 our Fact 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 employer
At 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.
