Temporary Senior Enhanced Care Management Advisor (RN) - Central California Alliance for Health

ABOUT THIS TEMP POSITION

This 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 FOR

Reporting 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 works with other Alliance departments related to training ECM/CS providers and implementation of ECM/CS Program activities
• Develop and manages 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 educates members, families, providers, external agencies and internal departments on the Case Management Program

WHAT YOU'LL NEED TO BE SUCCESSFUL

To 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 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 INFORMATION

• 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 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).