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Temporary Medical Social Worker
3 months ago
WHAT YOU'LL BE RESPONSIBLE FOR
Developing and managing an individualized intervention plan for members referred into the Care Management program with the goal of promoting optimal, achievable outcomes in the most cost effective and appropriate manner. You will work in conjunction with the interdisciplinary Care Management team to facilitate quality outcomes across the continuum by educating members, providers, external agencies, and internal departments and providing assistance in navigating the managed care system. You will participate in Quality Improvement efforts, to continually evaluate the Care Management Program's effectiveness and its quality driven, cost effective achievable goals and outcomes for Alliance members.
WHAT YOU'LL NEED TO BE SUCCESSFUL
- Knowledge of:
- The principles and practices of case management including assessment, care/treatment planning, discharge planning and documentation
- Medi-Cal and related policies and regulations
- The principles and practices of health care, medical administration and health care systems, including managed care
- Ability to:
- Use pro-active customer service skills in handling complex and demanding situations
- Advocate on behalf of the individual to assure quality of care and attainment of appropriate goals
- Create, document, and implement intervention plans
- Manage person who are non-compliant and or have behavioral health issues
- Education and Experience:
- Master's Degree in Social Work or similar field of study
- Two (2) years of Social Service experience in an acute care setting, community agency or managed care environment or an equivalent combination of education and experience which would provide the required knowledge, skills and abilities may be qualifying
- 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.
- This is a temporary position and does not provide the benefits that are listed below (it is standard language from our regular job posts and cannot be altered or removed).
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).
Compensation Range
$40-$48 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
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.