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Care Management Case Manager II (RN) - Adult Team

Company: Central California Alliance for Health
Location: Salinas
Posted on: November 27, 2019

Job Description:

Care Management Case Manager II (RN) - Adult TeamSalinas, CAWe have an opportunity at Central California Alliance for Health (the Alliance) for a Care Management Case Manager II (RN). As part of our Care Management Adult team, this position develops and manages individualized and comprehensive plans of care for members referred and assigned to our Care Management Program. WHAT YOU'LL BE RESPONSIBLE FORThe goal of the plan of care is to promote optimal, achievable outcomes in a way that is cost-effective and appropriate. You will perform comprehensive assessments of physical and psychosocial needs via phone or in-person but do not provide any hands-on care. You will work with and educate members, families, providers, other departments and external agencies on the CM Program and may represent the Alliance at community meetings. You will manage cases that involve multiple admissions, catastrophic injury or diagnosis, and/or psychosocial challenges, such as substance use disorders, trauma, mental illness and/or homelessness, in addition to medical issues.WHAT YOU'LL NEED TO BE SUCCESSFULKnowledge of:Principles and practices of clinical nursing, case management, and care coordination Evidence-based practice guidelines in the development of care plansAbility to:Demonstrate strong critical thinking and problem-solving skillsInterpret and apply policies and regulationsEvaluate medical records and other health care dataCommunicate effectively with a diverse population of members, including those with behavioral health issues Exercise good judgment and tact when relating to health care providers and beneficiariesEducation and Experience: Current unrestricted license as a Registered Nurse issued by the State of CaliforniaAssociates degree in NursingFive years of experience in a patient care setting, with at least one year in an acute or outpatient working with adults, and one year of case management experienceFor a complete position description and to apply online, please visit our careers website at ABOUT USWe 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 approximately 340,000 members in Santa Cruz, Monterey and Merced counties. To learn more about us, click here or check out this video. OUR BENEFITSMedical, Dental and Vision PlansAmple Paid Time Off11 Paid Holidays per year401(a) Retirement Plan457 Deferred Compensation PlanRobust Health and Wellness ProgramEV Charging StationsAnd many more 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 sponsorship.

Keywords: Central California Alliance for Health, Salinas , Care Management Case Manager II (RN) - Adult Team, Executive , Salinas, California

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