Senior Complex Case Manager (RN) - D-SNP (Temporary)
About the role
This is a temporary position and the length of assignment is estimated to go from July 2026 through December 2026. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with.
This is a full-time (40 hours/week) temporary assignment.
Responsibilities
- Develops and manages an individualized comprehensive plan of care for Medicare Dual Eligible Special Needs Plan (D-SNP) members referred into the 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 D-SNP Case Management Program
- 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
- Performs D-SNP Program oversight and support activities
- Acts as a liaison between the D-SNP Program and providers and community agencies to promote effective implementation of program objectives and requirements
Requirements
- Knowledge of:
- The principles and practices of clinical nursing
- The principles and practices of case management, including motivational interviewing and evidence-based guidelines
- Care management and coordination
- Complex chronic conditions, geriatric care, and psychosocial factors impacting health outcomes
- The principles and practices of developing and implementing health improvement strategies to address social determinants of health
- Evidence-based practice guidelines in the development of care plans
- Electronic health record and/or care management platforms
- Ability to:
- Assess member risk, define problems, develop care plans, and collaborate across disciplines
- 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, manage complex priorities, and document with accuracy and timeliness
- Communicate effectively with a diverse population of members, including those with behavioral health issues
- Education and Experience:
- A current unrestricted license as a Registered Nurse issued by the State of California
- An associate’s degree in Nursing and a minimum of seven years of experience in a patient care setting, including a minimum of 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 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 and/or dual-eligible populations
- 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.
- Medical, Dental and Vision Plans
- Amples 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
Other Information
Compensation Information
Zone 1 Pay Range: $60.00 - $64.00 USD
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: $56.00 - $60.00 USD
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 careers@thealliance.health, and a member from our Talent Acquisition team will be in touch.
The posted hiring ranges represent a good-faith 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).
Benefits
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
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.
Equal Employment Opportunity Employer
We are 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
No Sponsorship
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.