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

Central California Alliance for HealthMariposa County, California, CA
$46 - $63Hybrid

About The Position

This is a temporary, full-time (40 hours/week) assignment estimated to go from September 2026 through December 2026, dependent on business need. While the assignment would be at the Alliance, the employee would be hired through a temporary employment agency. The role involves developing and managing individualized comprehensive care plans for members, educating members and families, and participating in quality improvement studies.

Requirements

  • 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 experience
  • A minimum of one year of the required patient care experience must be in an acute or outpatient environment, working with the pediatric population
  • Knowledge of the principles and practices of clinical nursing
  • Knowledge of the principles and practices of case management
  • Knowledge of care management and coordination
  • Knowledge of evidence-based practice guidelines in the development of care plans
  • Knowledge of CCS Program and related regulations
  • Strong critical thinking and problem-solving skills
  • Ability to interpret and apply policies and regulations
  • Ability to define issues, conduct research, interpret data, and identify and evaluate options
  • Ability to evaluate medical records and other health care data
  • 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.

Responsibilities

  • 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

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
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