Pediatric Complex Case Manager, RN – Hybrid

Central California Alliance for Health; California; Hybrid; USD 68,000 - 87,000; Full time

Benefits offered by this job

Medical, Dental and Vision Plans

Paid Time Off

401(a) Retirement Plan

457 Deferred Compensation Plan

Health and Wellness Program

Onsite EV Charging Stations

Job summary

Central California Alliance for Health is seeking a temporary Pediatric Case Manager to develop and manage individualized care plans for members, coordinating with families, providers and agencies to achieve optimal outcomes and cost-effective care. The role is full-time, hybrid, and located in California.

The position requires an active California RN license and at least five years in patient care with a year in case management, including pediatric experience.

Qualifications

• Current unrestricted license as a Registered Nurse issued by the State of California
• Associate's degree in Nursing and a minimum of five years of experience in a patient care setting, including at least one year of case management experience, with pediatric experience; or an equivalent combination of education and experience which would provide the required knowledge, skills and abilities
• Experience in an acute or outpatient environment and working with pediatric population

Responsibilities

• Develops and manages 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
• Works with and educates members, families, providers, external agencies and internal departments on the Case Management Program and provides assistance as needed
• Participates 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

Skills

Clinical nursing

Case management

Care coordination

Evidence-based practice

CCS regulations

Critical thinking

Policy interpretation

Data interpretation

Medical records review

Education

Associate's degree in Nursing

RN license California

Job description

Central California Alliance for Health is seeking a temporary Pediatric Case Manager to develop and manage individualized care plans for members, coordinating with families, providers and agencies to achieve optimal outcomes and cost-effective care. The role is full-time, hybrid, and located in California.

The position requires an active California RN license and at least five years in patient care with a year in case management, including pediatric experience.