Medical Social Worker (Temporary )

Central California Alliance for Health•Mariposa County, California, CA
•$37 - $50•Hybrid

About The Position

The Medical Social Worker develops and manages individualized intervention plans for members referred to the Case Management program, with the goal of promoting optimal, achievable outcomes in the most cost-effective and appropriate manner. Working with the interdisciplinary Case Management team, the position helps facilitate quality outcomes across the continuum by educating members, providers, external agencies, and internal departments, and by assisting members in navigating the managed care system. The role also participates in Quality Improvement efforts to continually evaluate the Case Management Program’s effectiveness and its quality-driven, cost-effective goals and outcomes for Alliance members. This is a full-time, 40-hour-per-week temporary assignment, estimated to run from November 2, 2026, to December 31, 2026; the dates and assignment length may change depending on business needs. The employee would work at the Alliance but would be employed by a temporary employment agency. The position is in a hybrid work environment. Interviews are expected to take place remotely via Microsoft Teams. Attendance at quarterly company-wide events or department meetings may be expected, and in-office or in-community presence may be required depending on business need. The position reports to the Complex Case Management Supervisor - Pediatrics (RN).

Requirements

  • Master’s Degree in Social Work.
  • Three years of Social Service experience in an acute care setting, community agency, or managed care environment; an equivalent combination of education and experience that provides the required knowledge, skills, and abilities may qualify.
  • Knowledge of the principles and practices of case management, including assessment, care/treatment planning, discharge planning, and documentation.
  • Knowledge of the availability and means of utilizing community resources for special services.
  • Knowledge of Medi-Cal and related policies and regulations.
  • Knowledge of reporting methods for cases of abuse or neglect.
  • Ability to use proactive customer service skills in handling complex and demanding situations.
  • Ability to advocate on behalf of individuals to assure quality of care and attainment of appropriate goals.
  • Ability to create, document, and implement intervention plans.
  • Ability to evaluate medical records and other health care data.

Responsibilities

  • Develop and manage individualized intervention plans for members referred to the Case Management program to promote optimal, achievable outcomes in the most cost-effective and appropriate manner.
  • Work with the interdisciplinary Case Management team to facilitate quality outcomes across the continuum.
  • Educate members, providers, external agencies, and internal departments, and assist members in navigating the managed care system.
  • Participate in Quality Improvement efforts to evaluate the Case Management Program’s effectiveness and its quality-driven, cost-effective goals and outcomes for Alliance members.

Benefits

  • The posting states that the listed benefits are unavailable to temporary employees while on assignment with the Alliance. For eligible regular Alliance employees working more than 30 hours per week, listed benefits include medical, dental, and vision plans; paid time off; 12 paid holidays per year; a 401(a) retirement plan; a 457 deferred compensation plan; a health and wellness program; and onsite EV charging stations.
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