Senior Complex Case Manager - D-SNP (RN) (ib ntus)

Thov

Qhov chaw: Mariposa County, California; Merced County, California; Monterey County, California; San Benito County, California; Lub Nroog Santa Cruz, California

TAM SIM NO TEMP POSITION

This is a temporary position and the length of assignment is estimated to go from December 2025 to July 2026. 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.

There is 1 full-time (40 hours/week) opportunity available for this temporary assignment.

KOJ YUAV TSUM TAU TXAIS RAU

Qhia rau Medicare Care Management Manager (RN), txoj haujlwm no: 

• Tsim thiab tswj hwm ib tus kheej txoj kev npaj saib xyuas rau Medicare Dual Eligible Special Needs Plan (D-SNP) cov tswv cuab raug xa mus rau Case Management Program nrog lub hom phiaj ntawm kev txhawb nqa kev pom zoo, ua tiav cov txiaj ntsig tau zoo tshaj plaws thiab tsim nyog.
• Ua haujlwm nrog thiab qhia cov tswvcuab, tsev neeg, cov chaw muab kev pabcuam, cov koomhaum sab nraud, thiab cov chaw haujlwm sab hauv ntawm D-SNP Case Management Program
• Koom nrog hauv Kev Txhim Kho Kev Txhim Kho Zoo, txhawm rau ntsuas qhov kev kawm ua tau zoo thiab muaj peev xwm los txhawb kev ua tau zoo, raug nqi zoo, ua tiav cov hom phiaj thiab cov txiaj ntsig rau cov tswv cuab 
• Ua D-SNP Txoj Haujlwm saib xyuas thiab txhawb nqa cov haujlwm
• Ua raws li kev sib tham ntawm D-SNP Txoj Haujlwm thiab cov chaw muab kev pabcuam thiab cov koom haum hauv zej zog los txhawb kev ua haujlwm zoo ntawm cov hom phiaj thiab cov kev xav tau 

YUAV UA LI CAS YUAV UA LI CAS

Nyeem tag nrho cov lus piav qhia txoj haujlwm, thiab cov npe ntawm cov kev xav tau nias ntawm no.

• Kev paub txog:
• Cov hauv paus ntsiab lus thiab kev coj ua ntawm kev kho mob
• Cov hauv paus ntsiab lus thiab kev coj ua ntawm kev tswj cov ntaub ntawv, suav nrog kev xam phaj txhawb siab thiab cov lus qhia ua pov thawj 
• Kev saib xyuas thiab kev sib koom tes 
• Cov xwm txheej nyuaj, kev saib xyuas neeg laus, thiab kev puas siab puas ntsws cuam tshuam rau kev noj qab haus huv 
• Cov hauv paus ntsiab lus thiab kev coj ua ntawm kev tsim thiab siv cov tswv yim txhim kho kev noj qab haus huv los daws cov teeb meem kev noj qab haus huv 
• Cov ntaub ntawv pov thawj-raws li kev coj ua hauv kev tsim kho cov phiaj xwm 
• Cov ntaub ntawv kho mob hauv hluav taws xob thiab/lossis cov chaw tswj xyuas kev saib xyuas 
• Muaj peev xwm:
  • Ntsuam xyuas cov tswv cuab muaj feem cuam tshuam, txheeb xyuas cov teeb meem, tsim cov phiaj xwm saib xyuas, thiab sib koom tes hauv kev qhuab qhia 
  • Ua kom muaj kev xav zoo thiab kev daws teeb meem
  • Txhais thiab siv cov cai thiab cov cai 
  • Txhais cov teeb meem, ua kev tshawb fawb, txhais cov ntaub ntawv, thiab txheeb xyuas thiab ntsuas cov kev xaiv 
  • Ntsuas cov ntaub ntawv kho mob thiab lwm cov ntaub ntawv kho mob 
  • Npaj ua haujlwm, tswj cov haujlwm tseem ceeb, thiab sau cov ntaub ntawv kom raug thiab raws sijhawm 
  • Sib txuas lus zoo nrog ntau haiv neeg ntawm cov tswv cuab, suav nrog cov neeg muaj teeb meem kev noj qab haus huv 
• Kev Kawm thiab Kev Paub:
  • Daim ntawv tso cai tsis txwv tam sim no raws li Tus Kws Saib Xyuas Kev Sau Npe uas muab los ntawm Lub Xeev California 
  • Associate's degree hauv Kev Saib Xyuas Neeg Mob thiab yam tsawg kawg ntawm xya xyoo ntawm kev paub hauv qhov chaw saib xyuas neeg mob, suav nrog yam tsawg kawg ntawm ib xyoos ntawm kev tswj xyuas cov ntaub ntawv (ib daim Bachelor's degree yuav hloov tau ob xyoos ntawm qhov xav tau kev paub dhau los); los yog ib qho sib npaug ntawm kev kawm thiab kev paub dhau los yuav tsim nyog 
  • Yam tsawg kawg ntawm ib xyoos ntawm qhov xav tau kev saib xyuas tus neeg mob yuav tsum nyob rau hauv qhov chaw mob hnyav lossis tus neeg mob sab nraud, ua haujlwm nrog cov neeg laus thiab / lossis ob tus neeg tsim nyog tau txais kev kawm

Lwm yam ntaub ntawv

• Peb nyob hauv ib puag ncig kev ua haujlwm hybrid thiab peb cia siab tias cov txheej txheem sib tham yuav tshwm sim nyob deb ntawm Microsoft Teams.
• Txawm hais tias qee tus neeg ua haujlwm tuaj yeem ua haujlwm tag nrho cov sijhawm sib tham, kev tuaj koom ntawm peb lub hlis twg cov xwm txheej thoob plaws hauv tuam txhab lossis cov rooj sib tham hauv chav haujlwm yuav xav tau.
• Hauv chaw ua haujlwm lossis hauv zej zog tuaj yeem xav tau rau qee txoj haujlwm thiab nyob ntawm kev xav tau kev lag luam. Cov ntsiab lus hais txog qhov no tuaj yeem txheeb xyuas thaum lub sijhawm xam phaj.
• Qhov no yog txoj haujlwm ib ntus thiab tsis muab cov txiaj ntsig tau teev tseg hauv qab no (nws yog hom lus ntawm peb cov haujlwm tsis tu ncua thiab tsis tuaj yeem hloov lossis tshem tawm). Cov neeg ua haujlwm ib ntus ntawm kev ua haujlwm ntawm Alliance yuav txuas nrog lub chaw haujlwm ua haujlwm nrog cov kev xaiv txiaj ntsig.  

Cov nyiaj them tag nrho rau txoj haujlwm no yog teev los ntawm qhov chaw hauv qab no. 

Qhov nyiaj them tiag tiag rau lub luag haujlwm no yuav raug txiav txim siab los ntawm peb qhov kev them nyiaj lub tswv yim, kev tshuaj xyuas ntawm tus neeg sib tw xaiv qhov kev tsim nyog (kev ncaj ncees lossis kev hloov pauv tau hais txog txoj haujlwm, kev kawm lossis kev cob qhia), nrog rau lwm yam (kev ncaj ncees sab hauv, kev ua lag luam, thiab thaj chaw nyob. ).

Thov rau Senior Complex Case Manager - D-SNP (RN) (Ib ntus)