This is a Defined Term position, which is designated by the Alliance and is a position of limited duration. Defined Term employees are usually hired to work in a specific department on specific long-term project work until the work is completed or to a specific end date not to exceed December 31, 2026. This is a Defined Term and fully benefited position.
We have an opportunity to join the Alliance as a Senior Complex Case Manager - Pediatric (RN) on the Care Management team!
Reporting to the Complex Case Management Supervisor - Pediatric (RN), this position:
We look to support, connect, and empower members through community-based organizations and providers, in furtherance of improving health outcomes. The Care Management Team's mission is to coordinate care and empower members to achieve their health and wellness goals through collaboration and by facilitating member relationships with community providers. In Care Management, we serve the Alliance by creating a bridge between the Alliance, our communities, and individual members. We bring the voice of the member into the room when collaborating with our fellow departments at the Alliance and we assist the members in connecting the dots to successfully navigate options and resources for their care.
Pediatric Care Management: This unit is also about complex case management, but for our younger members. We work with the counties in line with California Children's Services Whole Child Model.
The ideal candidate is a flexible, team-oriented critical thinker who can work independently, navigate ambiguity, and collaborate when needed to support high-quality care for our pediatric members and families. They bring an active CA RN license, solid hospital or direct patient-care experience (pediatric and/or case-management preferred), and the ability to adapt to change while exercising good judgment and knowing when to seek support.
To read the full position description and list of requirements, click here.
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 transferable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).
Typical areas in Zone 1: Bay Area, Sacramento, Los Angeles area, San Diego area
Typical areas in Zone 2: Fresno area, Bakersfield, Central Valley (with the exception of Sacramento), Eastern California, Eureka area
We 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.
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
Join us at Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors and people with disabilities in Mariposa, Merced, San Benito and Santa Cruz counties. We currently serve more than 418,000 members. To learn more about us, take a look at our Fact Sheet.
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.
Who We Are Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors and people with disabilities in Mariposa, Merced, San Benito and Santa Cruz counties. We currently serve more than 418,000 members. Founded in 1996, the Alliance was established to improve access to health care for lower income residents. We have pursued this mission by linking members to primary care physicians and clinics who assist in managing their care. To learn more about us, take a look at our Fact Sheet. Our Culture We 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. Guided by our values of Improvement, Integrity, Collaboration and Equity, we strive to fulfill our vision of “Healthy people. Healthy communities.” This focus includes finding innovative solutions that lead to better health outcomes. Come join us! Career Growth and Advancement We support career development through promotional opportunities in a growing, financially stable organization. Get on-the-job-training and gain experience in an exemplary managed care model. To further support your career journey, we offer full access to LinkedIn Learning and annual tuition reimbursement. Support for Your Health and Wellness We believe in supporting the whole person and offer a comprehensive benefits package that includes medical, dental and vision coverage for you and your dependents. Learn more about our benefits in this comprehensive guide. In addition to 12 paid holidays per year, we provide ample paid time off. We recognize the importance of work-life balance, so we offer flexible scheduling and extra support when you need it most. To promote health and wellness, we provide reimbursements for gyms and online fitness classes. Your financial future is important to us. The Alliance contributes 10% of your salary to a defined contribution 401(a) plan after one year of employment. We also provide you with an opportunity to save voluntarily via our 457 retirement savings plan. Equal Opportunity At the Alliance, one of our values is that of Equity. We consciously work toward eliminating disparity through inclusion and justice. With that, it's our belief that all people are entitled to equal employment opportunities, and the Alliance is committed to compliance with all applicable laws providing equal employment opportunities. The Alliance is proud to be an equal employment opportunity employer where we cultivate belonging, nurture inclusion and value diversity to create collaborative and innovative teams. We assure equal treatment in the administration of employment decisions including recruitment, selection, hiring and compensation and applicants will receive consideration for employment on the basis of merit, experience and other applicable work-related criteria, without regard to race, color, religion, religious creed, national origin, ancestry, citizenship, age, physical disability, mental disability, legally protected medical condition, genetic characteristics, genetic information, marital status, domestic partner status, family care status, sex (including pregnancy, childbirth breastfeeding and/or related medical conditions), sexual orientation, gender, gender identify, gender expression, political activities or affiliations, military or veteran status or any other characteristic protected by federal, state or local laws. We encourage all people from all backgrounds to apply. Come join us and find out the positive impact you can have in helping us carry out our mission. The Alliance is committed to the full inclusion of all qualified individuals. As part of this commitment, we will ensure that persons with disabilities are provided with reasonable accommodation. If reasonable accommodation is needed to participate in the job application or interview process, please contact the Talent Acquisition team at [email protected] or call the Alliance at 831-430-5500. Get to Know Us Follow us on LinkedIn to stay up-to-date with new opportunities and to learn more about what it’s like to be a member of our team. To learn more about our culture and what our current and former employees say, check out our Glassdoor page. See how we connect with our members by visiting our Facebook page. Learn about our mission, vision and values. Frequently Asked Questions Can the Alliance sponsor my visa? At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States at the time of application and hire on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship. As required by federal law, all newly hired employees must be able to provide evidence of eligibility to work in the United States. Acceptable forms of identification can be found on the www.uscis.gov website. What happens after I send in my application? We look at each and every resume and application that we receive. A Recruiter will review your resume and qualifications against the position description for the job that you applied to. We'll get you updates as soon as we can about the status of your application. Once we have your resume on file, we'll also keep you in mind for other positions and may reach out with other opportunities that you might be interested in. What are those temporary jobs that you have listed? Sometimes we have temporary (temp) positions that we hire in addition to our regular positions. The temp positions typically have a set start and end date but can change based on the business need. Usually the temp positions are covering an employee's leave of absence, or are working on a special project. We have all of our temp employees get signed up with a local temporary staffing agency while they are on an assignment with us. The temp positions can be a great way to check out the Alliance and learn more about the work that we do.
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