Complex Case Manager Nurse – Care Coordination Leader

Alameda Alliance; Alameda (CA); Hybrid; USD 110,000 - 165,000; Full time

Job summary

Alameda Alliance in California is seeking a Complex Case Manager Nurse to deliver case management and care coordination for members with highly complex medical and psychiatric conditions. You will work with a multidisciplinary team and community partners to coordinate services and resources.

The role requires BSN or MSN, active CA RN license, and potential CCM certification within 12 months. You will manage a caseload, triage, develop care plans, and advocate for members while ensuring

Qualifications

• BSN or MSN required.
• Registered Nurse license, active and unrestricted in California.
• CCM certification preferred or willing to become certified within 12 months of hire.

Responsibilities

• Coordinate services for members with PCPs and specialists.
• Manage and document casework per NCQA and regulators.
• Develop member care plans and assessments.
• Act as clinical resource to staff and provide direction to ancillary teams.
• Collaborate with health plan providers and community partners to support care management.

Skills

Verbal communication

Written communication

Motivation

Community resources knowledge

Care coordination

Microsoft Office

Care Management Software

Education

BSN or MSN

CA RN license

CCM certification preferred or plan to obtain

Tools

Care Management Software

Microsoft Office

Job description

Alameda Alliance in California is seeking a Complex Case Manager Nurse to deliver case management and care coordination for members with highly complex medical and psychiatric conditions. You will work with a multidisciplinary team and community partners to coordinate services and resources.

The role requires BSN or MSN, active CA RN license, and potential CCM certification within 12 months. You will manage a caseload, triage, develop care plans, and advocate for members while ensuring