MercedRecruiter Since 2001
the smart solution for Merced jobs

RN Pediatric Case Manager II (Temporary)

Company: Central California Alliance for Health
Location: Merced
Posted on: June 2, 2019

Job Description:


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.

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 approximately 350,000 members in Santa Cruz, Monterey and Merced counties. To learn more about us,--click here--or check out this video.--



Developing and managing an individualized comprehensive plan of care for members referred into the assigned Care Management Program with the goal of promoting optimal, achievable outcomes in the most cost-effective and appropriate manner. Working with and educating members, families, providers, external agencies and internal departments on the Care Management Program and providing assistance as needed. Participating in Quality Improvement studies, continually evaluating the program's effectiveness and ability in promoting quality driven, cost effective, achievable goals and outcomes for members.



This is a new team forming in the Care Management Department as we, the Alliance, a Medi-Cal managed care plan, implement the Whole-Child Model (WCM), and incorporate California Children's Services (CCS)--covered services into our plan. CCS is a statewide program for children with special health care needs. The CCS services were previously "carved out" (not a covered benefit of our plan) and were coordinated by the respective counties in our contracted areas. On July 1, 2018, we assumed responsibility for payment, authorization and care coordination of primary and specialty services for CCS-eligible children and youth. To learn more about the WCH model, integration of CCS services and other resources, click here.



  • Be excited about being a part of something new for the health plan, and acknowledge the challenge and opportunity that this time presents
  • Be motivated to serve children with special health care needs and partner with their families while able to maintain professional boundaries in relationships that could be built from the time a member is in the NICU to the time they are 21
  • Learn from our County partners as we implement this program, with a goal of a seamless transition for the families--
  • Be flexible in a changing and dynamic environment, and appreciate that each day will be a bit different
  • Be comfortable spending time on-site with the County during training and onboarding and then translating the knowledge and information back to us



    • Knowledge of:

      • Principles and practices of clinical nursing
      • Principles and practices of case management
      • Care management and coordination
      • Evidence-based practice guidelines in the development of care plans

      • Ability to:

        • Demonstrate strong critical thinking and problem-solving skills
        • Interpret and apply policies and regulation
        • Define issues, conduct research, interpret data, and identify and evaluate options
        • Evaluate medical records and other health care data
        • Organize work and manage complex priorities

        • Education and Experience:

          • Associate's degree in Nursing
          • Five years of experience in a patient care setting, including at least one year of case management experience or an equivalent combination of education and experience which would provide the required knowledge, skills and abilities may be qualifying
          • One year of the required patient care experience must be in an acute or outpatient environment, working with the pediatric population--
          • Current unrestricted license as a Registered Nurse issued by the State of California


            To read the full position description, and list of requirements--click here.--

            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 sponsorship.


Keywords: Central California Alliance for Health, Merced , RN Pediatric Case Manager II (Temporary), Executive , Merced, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Executive Jobs

Product Manager
Description: Hi, Hope you are doing great I have a new job opening for you. It is a Product Manager in San Jose, CA please goes through with the job description. If you're interested, please send me your updated resume (more...)
Company: Noralogic Inc
Location: San Jose
Posted on: 06/27/2019

Urgent Need of Program Manager with Salesforce and Marketo Exp
Description: Urgent Need of Program Manager with Salesforce and Marketo Exp Location San Jose, CA Long Term Responsibilities Partner with Program Leadership, Directors, Managers, Product Managers and Program Manager (more...)
Company: Spar Information Systems
Location: San Jose
Posted on: 06/27/2019

Business Analyst with project management
Description: Title Business Analyst with Project management. Number
Company: Prontoux inc
Location: San Jose
Posted on: 06/27/2019

Uber Driver Partner - Supplement Your Store Manager Income
Description: Drive with Uber and earn money anytime it works for you. Driving is an easy way to earn extra, and it s totally flexible around your schedule. You decide when and how much you drive. What you need to (more...)
Company: Uber Driver Partners
Location: Sacramento
Posted on: 06/27/2019

RN Case Manager
Description: Description SHIFT: Weekends Only br br SCHEDULE: Part-time br br Regional Medical Center of San Jose is an acute carehospital with a Level II Trauma Center. The hospital provides a host oftechnologically-advanced (more...)
Company: Regional Medical Center
Location: San Jose
Posted on: 06/27/2019

General Manager
Description: General Manager Description When Chipotle first opened its doors in 1993, the idea was simple: show that food served fast didn't have to be a typical fast-food experience. More than two decades later, (more...)
Company: Chipotle Mexican Grill
Location: San Jose
Posted on: 06/27/2019

PFM Applications Senior Manager
Description: PFM Applications Senior Manager br Location San Jose - CA, US Level Master Experience 8 years Functional Area Background Other technical job categories Other technical job categories Other technical (more...)
Company: ASML
Location: San Jose
Posted on: 06/27/2019

Senior Portfolio Manager
Description: DUTIES RESPONSIBILITIES: ul li Provide an extraordinary Client experience for Clients, Prospects, and Teammates of American River Bank while exhibiting professionalism, confidentiality and the desire (more...)
Company: American River Bankshares
Location: Rancho Cordova
Posted on: 06/27/2019

Account Manager - RCCB
Description: Account Manager - RCCB Position Summary: The Account Manager is the primary contact for designated customers within their assigned territory. The Account Manager is responsible for maintaining relationships (more...)
Company: Reyes Coca-Cola Bottling
Location: San Jose
Posted on: 06/27/2019

Business Intelligence Project Manager
Description: Skills Highlight Project program management Some working experience
Company: K Anand Corporation
Location: San Jose
Posted on: 06/27/2019

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Merced RSS job feeds