Senior Complex Case Manager - Pediatric (RN) (Temporary)

Central California Alliance for Health; Santa Cruz (CA); Hybrid; USD 67,502,000 - 108,830,000; Full time

Job summary

Central California Alliance for Health is seeking a registered nurse for a temporary Pediatric Case Management role in California. You will develop comprehensive care plans, educate families and providers, and participate in quality improvement to drive outcomes and cost-effectiveness.

The assignment runs Sept 2026 through Dec 2026, with hybrid work options and remote interview via Teams. Requires an active California RN license, an Associate's degree in Nursing, and at least five years of

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 in an acute or outpatient pediatric environment.

Responsibilities

• Develops and manages an individualized comprehensive plan of care for members in the Case Management Program.
• Educates members, families, providers, and internal departments on the Case Management Program.
• Participates in Quality Improvement studies to evaluate program effectiveness and outcomes.

Skills

Nursing fundamentals

Case management

Care coordination

Evidence-based practice

CCS regulations

Education

Associate's degree in Nursing

RN license (California)

Job description

OUR COMMITMENT TO A HUMAN HIRING PROCESS

We believe every candidate deserves thoughtful consideration.That'swhy we do not use AI or automated systems toreview applications. Every application is reviewed bya real human member of our team. Because we take the time to give each submission the attention it deserves, our review process may take a little longer - and we genuinely appreciate your patience as we work through applications carefully and respectfully.

SERVICE AREA PREFERENCE

While we encourage all interested applicants to apply, we do give priority to those who live in or near, our service counties: Santa Cruz, Monterey, Merced, San Benito, and Mariposa. Our mission of accessible, quality health care guided by local innovation leads everything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment.

ABOUT THIS TEMP POSITION

This is a temporary position. The length of the assignment is estimated to go from September 2026 through December 2026, but this is always dependent on business need, and these dates may change. While the assignment would be at the Alliance, you would be an employee of a temporary employment agency that we would connect you with if hired for this position. This is a full-time (40 hours/week) temporary assignment.

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to a Complex Case Management Supervisor - Pediatric (RN), this position:

• 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

WHAT YOU'LL NEED TO BE SUCCESSFUL

• Knowledge of:
  • The principles and practices of clinical nursing
  • The principles and practices of case management
  • Care management and coordination
  • Evidence-based practice guidelines in the development of care plans
  • CCS Program and related regulations
• 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
• 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 five years of experience in a patient care setting, including at least on year of case management experience, a minimum one year of the require patient care experience must be in an acute or outpatient environment, working with the pediatric population; or an equivalent combination of education and experience which would provide the required knowledge, skills and abilities may be qualifying

OTHER INFORMATION

• We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
• While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
• In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
• This is a temporary position and does not provide the benefits that are listed below (it is standard language from our regular job posts and cannot be altered or removed). Temporary employees on assignment at the Alliance will be connected to a staffing agency with separate benefit options.

COMPENSATION INFORMATION

• Zone 1 Pay Range: $49.00 - $63.00 Typical areas in Zone 1: Santa Cruz, San Benito, and Monterey Counties, Bay Area, Sacramento, Los Angeles and San Diego areas
• Zone 2 Pay Range: $46.00 - $59.00 Typical areas in Zone 2: Mariposa and Merced Counties, Fresno area, Bakersfield, Eastern California, San Luis Obispo area, and the Central Valley (except Sacramento)

The applicable salary ranges are based on work location and are aligned to a zone according to the cost of labor in your area. All ranges are subject to change in the future. We are happy to answer any questions that you have or share the applicable pay zone for your location if it's not one of the typical areas listed. You can reach out to [e-mail], and a member from our Talent Acquisition team will be in touch.

The posted hiring ranges represent a goodfaith estimate of what a temporary employee would be paid on this assignment. Final compensation will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education, or training), as well as other factors (internal equity, market factors, and geographic location).

OUR BENEFITS

Available for all regular Alliance employees working more than 30 hours per week.Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.

• 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

ABOUT US

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.