Care Coordination Social Worker D-SNP (LCSW)

Central California Alliance for Health • CA

108d • $82,858 - $145,704

About The Position

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. The role 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. Additionally, the position participates in program evaluation and quality improvement efforts to ensure D-SNP program effectiveness and compliance with regulatory requirements.

Requirements

• Possession and continued maintenance of a Licensed Clinical Social Worker (LCSW) license issued by the State of California.
• Master’s Degree in Social Work or related field.
• Two years of social service experience in an acute care, community-based, or managed care environment.
• Knowledge of case management principles, community resources, and behavioral health systems.

Nice To Haves

• Experience in developing and managing member-centered care plans.
• Ability to conduct culturally competent interviews.
• Proactive customer service skills.

Responsibilities

• Develops and manages an individualized intervention plan for Medicare D-SNP members.
• Works with the interdisciplinary Care Coordination team to facilitate quality outcomes.
• Educates members, caregivers, providers, and agencies about the managed care system.
• Participates in program evaluation and quality improvement efforts.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Master's degree
• Number of Employees: 501-1,000 employees