Rn Manager Jobs

About The Position

Requirements

• Current unrestricted Registered Nurse license 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 at least one year of case-management experience; a bachelor’s degree may substitute for two years of the required experience. An equivalent combination of education and experience may qualify.
• At least one year of the required patient-care experience must be in an acute or outpatient environment working with adults and/or dual-eligible populations.
• Knowledge of clinical nursing principles and practices.
• Knowledge of case-management principles and practices, including motivational interviewing and evidence-based guidelines.
• Knowledge of care management and coordination.
• Knowledge of complex chronic conditions, geriatric care, and psychosocial factors affecting health outcomes.
• Knowledge of developing and implementing health-improvement strategies addressing social determinants of health.
• Knowledge of evidence-based practice guidelines for developing care plans.
• Knowledge of electronic health records and/or care-management platforms.
• Ability to demonstrate 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 organize work, manage complex priorities, and document accurately and promptly.
• Ability to communicate effectively with diverse members, including people with behavioral health issues.

Responsibilities

• Develop and manage individualized, comprehensive plans of care for D-SNP members referred to the Case Management Program, promoting optimal and achievable outcomes in a cost-effective and appropriate manner.
• Work with and educate members, families, providers, external agencies, and internal departments about the D-SNP Case Management Program.
• Participate in Quality Improvement studies to evaluate program effectiveness and its ability to promote quality-driven, cost-effective, achievable member goals and outcomes.
• Perform D-SNP Program oversight and support activities.
• Act as a liaison between the D-SNP Program, providers, and community agencies to promote effective implementation of program objectives and requirements.
• Assess member risk, define problems, develop care plans, and collaborate across disciplines.
• Interpret and apply policies and regulations; research and evaluate issues, data, and options.
• Evaluate medical records and other health care data.
• Organize work, manage complex priorities, and document accurately and promptly.
• Communicate effectively with a diverse population of members, including those with behavioral health issues.

Benefits

• The posting lists Medical, Dental and Vision Plans, ample paid time off, 12 paid holidays per year, a 401(a) Retirement Plan, a 457 Deferred Compensation Plan, a health and wellness program, and onsite EV charging stations as benefits for regular Alliance employees. It explicitly states these benefits are unavailable to temporary employees on assignment; temporary employees may have separate benefit options through the staffing agency.