About this role

Santa Clara Family Health Plan (SCFHP) is a local, community-based health plan dedicated to improving the health and well-being of the residents of Santa Clara County. Working in partnership with providers and community organizations, we serve our neighbors through our Medi-Cal and SCFHP DualConnect (HMO D-SNP) health care plans. The RN Case Manager is responsible for providing on-going case management services for Santa Clara Family Health Plan (SCFHP) members. As a SCFHP member advocate, the RN Case Manager facilitates communication and coordination among all participants of the care team to ensure member identified goals and needed services are provided to promote quality cost-effective outcomes. Through the development and implementation of member individualized care plans, the RN Case Manager provides medical and psychosocial case management support to help coordinate resources and services for individuals across the healthcare and social services continuum, and facilitate the use of available healthcare benefits in compliance.

Skills for this role

case managementcare coordinationmedical case managementpsychosocial case managementcare plan development

Requirements

Active California RN License without restriction
Case management: discharge planning: 3 years

Benefits

Dental insurance
Health insurance
Flexible spending account
Employee assistance program
Tuition reimbursement
Paid time off
Vision insurance
Retirement plan

About the employer

Santa Clara Family Health Plan

Hiring organization

Workplace not named in the posting.

Santa Clara Family Health Plan (SCFHP) is a local, community-based managed care health plan organization headquartered in San Jose, California, serving Santa Clara County since 1997. The organization serves more than 280,000 members through its Medi-Cal and SCFHP DualConnect (HMO…

What reviewers appreciate

Great Place To Work certified for three consecutive years with strong employee satisfaction
Community-based mission focused on health equity and culturally responsive care
Structured case management role with clear regulatory framework and care team collaboration

What reviewers flag

Some RN Case Manager positions are temporary (6-month contracts) depending on department needs
Health plan setting does not offer direct bedside patient care, which may not appeal to all nurses
Limited publicly accessible review data from Glassdoor and Indeed due to access restrictions

Specific details about the benefits package were not provided in the available research sources. The organization's strong Great Place To Work certification suggests a positive overall employee experience, but individual benefit components such as health insurance, retirement plans, PTO, or professional development support are not explicitly documented in the provided…

Living in San Jose, CA

San Jose sits at the southern tip of the San Francisco Bay, blending suburban calm with urban energy. Nurses relocating here find themselves surrounded by rolling foothills, diverse neighborhoods like Willow Glen and Japantown, and easy access to coastal getaways. The valley's Mediterranean climate and sprawling tech-driven culture create a distinct, fast-paced yet sun-drenched Northern California lifestyle.

Cost of living in California: 144.8; 45% above the national average
RN pay, California average: $148k; mean annual wage

State-level figures. Becker's Hospital Review (BLS OEWS May 2024 wages · World Population Review 2024 cost index)

See 26 open roles in San Jose