Senior Complex Case Manager – D-SNP, RN
Central California Alliance for Health
full-time
Posted on:
Location Type: Hybrid
Location: California • United States
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Salary
💰 $48,970 - $63,660 per year
Job Level
About the role
- 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
- 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
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
case managementpatient carequality improvementprogram oversightcare plan development
Soft Skills
communicationeducationliaisonorganizational skills
Certifications
Registered Nurse licenseCalifornia RN license