Hybrid RN Complex Case Manager – Medicare D-SNP

Central California Alliance for Health; Merced (CA); Hybrid; USD 120,000 - 140,000; Full time

Benefits offered by this job

Medical, Dental and Vision Plans

Paid Time Off

401(a) Retirement Plan

457 Deferred Compensation Plan

Wellness Program

Job summary

Central California Alliance for Health is seeking a Senior Complex Case Manager (RN) to lead individualized care plans for Medicare D-SNP members in the Care Management Department. Ideal candidates will coordinate with members, families, and providers to promote cost-effective, high-quality outcomes.

You will participate in quality improvement and oversight activities, acting as a liaison with the D-SNP program and community providers to ensure program objectives are met.

Qualifications

• Current unrestricted license as a Registered Nurse in California.
• Associate's degree in Nursing and min 7 years of patient care experience, incl. 1 year in case management (Bachelor's may substitute).
• Minimum 1 year patient care experience in acute or outpatient setting with adults/dual-eligible populations.

Responsibilities

• Develops an individualized comprehensive plan of care for Medicare D-SNP members.
• Educates members, families, providers, external agencies, and internal departments on the D-SNP Case Management Program.
• Participates in Quality Improvement studies to evaluate program effectiveness and outcomes.
• Performs D-SNP Program oversight and support activities.
• Acts as liaison between D-SNP Program and providers/community agencies.

Skills

Nursing principles

Case management

Motivational interviewing

Care coordination

Health determinants

EHR knowledge

Education

RN license (CA)

Associate's degree in Nursing

Tools

Care management platforms

Job description

Central California Alliance for Health is seeking a Senior Complex Case Manager (RN) to lead individualized care plans for Medicare D-SNP members in the Care Management Department. Ideal candidates will coordinate with members, families, and providers to promote cost-effective, high-quality outcomes.

You will participate in quality improvement and oversight activities, acting as a liaison with the D-SNP program and community providers to ensure program objectives are met.