3h ago

Senior Complex Case Manager - D-SNP (RN) (Temporary)

Mariposa County, California; Merced County, California; Monterey County, California; San Benito County, California; Santa Cruz County, California
full-timeseniorHealth Insurance

Description

You will develop and manage comprehensive care plans for Medicare Dual Eligible Special Needs Plan members, working with members, families, providers, and internal teams to promote optimal health outcomes. This temporary assignment runs from April 2026 through December 2026, and you would be employed through a temporary agency while working at the Alliance.

Requirements

  • Registered Nurse (RN) license
  • Knowledge of clinical nursing principles and case management practices
  • Experience with complex chronic conditions and geriatric care
  • Proficiency in electronic health record and care management platforms
  • Strong critical thinking and problem-solving skills

Responsibilities

  • Develop and manage individualized comprehensive care plans for D-SNP members
  • Educate members, families, providers, and internal departments on the D-SNP Case Management Program
  • Participate in Quality Improvement studies to evaluate program effectiveness
  • Perform D-SNP Program oversight and support activities
  • Act as liaison between D-SNP Program and providers/community agencies
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