Senior Complex Case Manager - Adult (Rn)

We have an opportunity to join the Alliance as a Senior Complex Case Manager - Adult (RN) in the Community Care Coordination Department.

This position is primarily remote, however there is a 2 day/month in-person requirement at the Salinas office.

• Developing and managing an individualized comprehensive plan of care for members referred into the assigned Case Management Program with the goal of promoting optimal, achievable outcomes in the most cost effective and appropriate manner
• Working with and educating members, families, providers, external agencies and internal departments on the Case Management Program
• Participating in Quality Improvement studies, to continually evaluate the program's effectiveness and ability in promoting quality driven, cost effective, achievable goals and outcomes for members
• Performing Enhanced Care Management (ECM)/Community Supports (CS) Program oversight and support activities
• Acting as a liaison between the ECM/CS Program and providers and community agencies to promote effective implementation of program objectives and requirements

ABOUT THE TEAM

Coordinates care and empowers members to achieve their health and wellness goals through collaboration and by facilitating member relationships with community providers

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description, and list of requirements click here. 

• Knowledge of:
  • The principles and practices of clinical nursing
  • The principles and practices of case management
  • Evidence-based practice guidelines in the development of care plans
  • Care management and coordination
• Ability to:
  • Demonstrate strong critical thinking and problem-solving skills
  • Interpret and apply policies and regulations
  • Define issues, conduct research, interpret data, and identify 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
• Education and Experience:
  • • Current unrestricted license as a Registered Nurse issued by the State of California
    • Education: Associate's degree in Nursing
    • Experience;  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 may be qualifying.  
    • A minimum of one year of the required patient care experience must be in an acute or outpatient environment, working with adults

OTHER DETAILS

• 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 full compensation range for this position is listed by location below. 
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).