Senior Complex Case Manager - Pediatric; RN); Temporary

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

OUR COMMITMENT TO A HUMAN HIRING PROCESS

We believe every candidate deserves thoughtful consideration.

That’swhy we do not use AI or automated systems toreview applications . Every application is reviewed bya real human member of our team. Because we take the time to give each submission the attention it deserves, our review process may take a little longer — and we genuinely appreciate your patience as we work through applications carefully and respectfully.

SERVICE AREA PREFERENCE

While we encourage all interested applicants to apply, we do give priority to those who live in , or near, our service counties:
Santa Cruz, Monterey, Merced, San Benito, and Mariposa . Our mission of accessible, quality health care guided by local innovation leads everything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment.

This is a temporary position. The length of the assignment is estimated to go from September 2026 through December 2026, but this is always dependent on business need, and these dates may change. While the assignment would be at the Alliance, you would be an employee of a temporary employment agency that we would connect you with if hired for this position.

This is a full-time (40 hours/week) temporary assignment.

Reporting to a Complex Case Management Supervisor
- Pediatric (RN), this position:

• 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
• The principles and practices of clinical nursing
• The principles and practices of case management
• Care management and coordination
• Evidence-based practice guidelines in the development of care plans
• CCS Program and related regulations
• Ability to:
  • Demonstrate strong critical thinking and problem-solving skills
  • Interpret and apply policies and regulations
  • Define issues, conduct research, interpret data, and identify and evaluate options
  • Evaluate medical records and other health care data
• Education and Experience:
  • 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 on year of case management experience, a minimum one year of the require patient care experience must be in an acute or outpatient environment, working with the pediatric population; or an equivalent combination of education and experience which would provide the required knowledge, skills and abilities may be qualifying

• We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
• While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
• In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
• This is a temporary position and does not provide the benefits that are listed below (it is standard language…