Central California Alliance for Health
Temporary Senior Enhanced Care Management Advisor (RN)
Central California Alliance for Health, California, Missouri, United States, 65018
Temporary Senior Enhanced Care Management Advisor (RN)Location:
Remote in California
ABOUT THIS TEMP POSITIONThis is a temporary position and the length of assignment is estimated to go from July 2024 to December 2024. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with.
WHAT YOU'LL BE RESPONSIBLE FORReporting to the Enhanced Care Manager, this position:Act as a liaison between the Enhanced Care Management (ECM)/Community Supports (CS) Program and providers and community agencies to promote effective implementation of program objectives and requirements.Perform ECM/CS Program oversight and support activities.Provide support to the Provider Services Department and work with other Alliance departments related to training ECM/CS providers and implementation of ECM/CS Program activities.Develop and manage an individualized comprehensive plan of care for members referred into the assigned ECM Program with the goal of promoting optimal, achievable outcomes in the most cost-effective and appropriate manner, at such times that contracted ECM providers are unable to provide these services to members.Work with and educate members, families, providers, external agencies, and internal departments on the Case Management Program.
WHAT YOU'LL NEED TO BE SUCCESSFULTo read the full position description and list of requirements click here.Knowledge of:
Community-based nursing.Community-based service delivery to at-risk populations, including motivational interviewing, trauma-informed care, and other best practices.Community-based organization and/or public health practices and processes.Case management and coordination.Evidence-based practice guidelines in the development of care plans.
Ability to:
Evaluate medical records and other health care data.Analyze, interpret, and apply legal, regulatory, and contractual language, policies, procedures, and guidelines, and legislative and regulatory directives.Act as a technical resource and explain regulations, processes, and programs related to the area of assignment.Prepare narrative and statistical written reports, oral reports, correspondence, and other program documents.
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 seven years of experience in outpatient medical, care management, community health service delivery, behavioral health practice management, or related healthcare 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.
OTHER INFORMATIONWe 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 from our regular job posts and cannot be altered or removed).
The full compensation range for this position is listed by location below.The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).Compensation Range
$50
-
$62 USDOUR BENEFITSAvailable for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.Medical, Dental and Vision PlansAmple Paid Time Off12 Paid Holidays per year401(a) Retirement Plan457 Deferred Compensation PlanRobust Health and Wellness ProgramOnsite EV Charging Stations
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 members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our
Fact Sheet .The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer.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 any type of employer supported or provided sponsorship.
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Remote in California
ABOUT THIS TEMP POSITIONThis is a temporary position and the length of assignment is estimated to go from July 2024 to December 2024. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with.
WHAT YOU'LL BE RESPONSIBLE FORReporting to the Enhanced Care Manager, this position:Act as a liaison between the Enhanced Care Management (ECM)/Community Supports (CS) Program and providers and community agencies to promote effective implementation of program objectives and requirements.Perform ECM/CS Program oversight and support activities.Provide support to the Provider Services Department and work with other Alliance departments related to training ECM/CS providers and implementation of ECM/CS Program activities.Develop and manage an individualized comprehensive plan of care for members referred into the assigned ECM Program with the goal of promoting optimal, achievable outcomes in the most cost-effective and appropriate manner, at such times that contracted ECM providers are unable to provide these services to members.Work with and educate members, families, providers, external agencies, and internal departments on the Case Management Program.
WHAT YOU'LL NEED TO BE SUCCESSFULTo read the full position description and list of requirements click here.Knowledge of:
Community-based nursing.Community-based service delivery to at-risk populations, including motivational interviewing, trauma-informed care, and other best practices.Community-based organization and/or public health practices and processes.Case management and coordination.Evidence-based practice guidelines in the development of care plans.
Ability to:
Evaluate medical records and other health care data.Analyze, interpret, and apply legal, regulatory, and contractual language, policies, procedures, and guidelines, and legislative and regulatory directives.Act as a technical resource and explain regulations, processes, and programs related to the area of assignment.Prepare narrative and statistical written reports, oral reports, correspondence, and other program documents.
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 seven years of experience in outpatient medical, care management, community health service delivery, behavioral health practice management, or related healthcare 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.
OTHER INFORMATIONWe 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 from our regular job posts and cannot be altered or removed).
The full compensation range for this position is listed by location below.The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).Compensation Range
$50
-
$62 USDOUR BENEFITSAvailable for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.Medical, Dental and Vision PlansAmple Paid Time Off12 Paid Holidays per year401(a) Retirement Plan457 Deferred Compensation PlanRobust Health and Wellness ProgramOnsite EV Charging Stations
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 members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our
Fact Sheet .The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer.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 any type of employer supported or provided sponsorship.
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