Care Coordination Social Worker D-SNP (LCSW) (Defined Term)

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.

What You'Ll Be Responsible For

Reporting to the Medicare Care Management Manager (RN), this position:

• Develops and manages an individualized intervention plan for Medicare Dual Eligible Special Needs Plan (D-SNP) members referred into the Care Coordination program with the goal of promoting optimal, achievable outcomes in the most cost effective and appropriate manner
• Works in conjunction with the interdisciplinary Care Coordination team to facilitate quality outcomes across the continuum by educating members, caregivers, providers, external agencies, and internal teams and providing assistance in navigating the managed care system
• Participates in program evaluation and quality improvement efforts to ensure D-SNP program effectiveness and compliance with regulatory requirements

WHAT YOU'LL NEED TO BE SUCCESSFUL

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

• Knowledge of:
• The principles and practices of case management and coordination, including assessment, care/treatment planning, discharge planning. and documentation
• The availability and means of utilizing community resources for special services
• Reporting methods for cases of abuse or neglect
• Community resources and behavioral health systems
• The needs of older adults, individuals with disabilities, and/or those with complex medical or psychosocial needs
• Ability to:
• Education and Experience:
• Effectively interview members to determine their strengths, problems prognosis, functional status, goals, and need for specific services and resources, and to establish short-term and long-term goals
• Assess psychosocial needs and conduct culturally competent interviews
• Use proactive customer services skills in responding to complex and demanding situations
• Advocate on behalf of the individual member to assure quality of care and attainment of appropriate goals
• Possession and continued maintenance, in good standing, of a Licensed Clinical Social Worker (LCSW) license issued by the State of California
• Master’s Degree in Social Work or related field and two years of social service experience in an acute care, community-based, or managed care environment which included developing and managing member-centered care plans; or an equivalent combination of education and work 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.

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).

Zone 1 (Monterey, San Benito and Santa Cruz)$91,056—$145,704 USDZone 2 (Mariposa and Merced)$82,858—$132,579 USD

Our Benefits

Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.

• Medical, Dental and Vision Plans
• Ample Paid Time Off 
• 12 Paid Holidays per year
• 401(a) Retirement Plan
• 457 Deferred Compensation Plan
• Robust Health and Wellness Program
• Onsite EV Charging Stations

About Us

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 members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet.

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

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.