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Senior Complex Case Manager – D-SNP, RN
Central California Alliance for HealthSenior Complex Case Manager at Central California Alliance for Health managing care for Medicare D-SNP members. Developing comprehensive care plans and collaborating with families and providers.
About the role
Key responsibilities & impact- 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
What you’ll need- Current unrestricted license as a Registered Nurse issued by the State of California
- 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 Education
Benefits
Comp & perks- 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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
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Hard Skills & Tools
case managementpatient carequality improvementprogram oversightcare plan development
Soft Skills
communicationeducationliaisonorganizational skills
Certifications
Registered Nurse licenseCalifornia RN license