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

Central California Alliance for Health • Santa Cruz, CA

6d • Hybrid

About The Position

This is a temporary, full-time (40 hours/week) position with an estimated assignment length from July 2026 through December 2026, dependent on business needs. While the assignment is with the Alliance, the selected candidate will be an employee of a temporary employment agency. The role reports to the Medicare Care Management Manager (RN) and focuses on developing and managing individualized intervention plans for Medicare Dual Eligible Special Needs Plan (D-SNP) members. The goal is to promote optimal, achievable outcomes in a cost-effective and appropriate manner. The position involves working with an interdisciplinary Care Coordination team to facilitate quality outcomes across the continuum by educating members, caregivers, providers, external agencies, and internal teams, and assisting in navigating the managed care system. Participation in program evaluation and quality improvement efforts is also required to ensure D-SNP program effectiveness and regulatory compliance.

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

• Job Type: Full-time
• Career Level: Mid Level