Care Coordination Social Worker D-SNP (LCSW) (Temporary)

Central California Alliance for Health

23d • $40 - $57 • Hybrid

About The Position

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

Requirements

• 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
• Knowledge of: The principles and practices of case management and coordination, including assessment, care/treatment planning, discharge planning. and documentation
• Knowledge of: The availability and means of utilizing community resources for special services
• Knowledge of: Reporting methods for cases of abuse or neglect
• Knowledge of: Community resources and behavioral health systems
• Knowledge of: The needs of older adults, individuals with disabilities, and/or those with complex medical or psychosocial needs
• Ability to: 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
• Ability to: Assess psychosocial needs and conduct culturally competent interviews
• Ability to: Use proactive customer services skills in responding to complex and demanding situations
• Ability to: Advocate on behalf of the individual member to assure quality of care and attainment of appropriate goals

Responsibilities

• 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 This Job Offers

• Career Level: Mid Level
• Number of Employees: 501-1,000 employees