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Temporary Senior Enhanced Care Management Advisor RN/Registered Nurse
2 months ago
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 programobjectives 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 costeffective and appropriate manner, at such times that contracted ECM providers are unable toprovide 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).
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