Pediatric Case Management Social Worker

Central California Alliance for Health; Salinas (CA); Hybrid; USD 54,000 - 69,000; Full time

Benefits offered by this job

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

Job summary

Central California Alliance for Health is seeking a Complex Case Management professional to coordinate interventions for pediatric members. The role emphasizes collaboration with an interdisciplinary team to promote high-quality, cost-effective care and navigation of the managed care system.

Qualified candidates hold a Master’s in Social Work with at least three years in social services within acute care, community agency, or managed care settings.

Qualifications

• Knowledge of the principles and practices of case management including assessment, care/treatment planning, discharge planning and documentation.
• Availability and means of utilizing community resources for special services.
• Medi-Cal and related policies and regulations.
• Reporting methods for cases of abuse or neglect.

Responsibilities

• Develops and manages an individualized intervention plan for members referred into the Case Management program with the goal of promoting optimal, achievable outcomes in the most cost effective and appropriate manner.
• Works in conjunction with the interdisciplinary Case 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.
• Participates in Quality Improvement efforts, to continually evaluate the Case Management Program's effectiveness and its quality driven, cost effective achievable goals and outcomes for Alliance members.

Skills

Case management knowledge

Community resources

Medi-Cal policies

Abuse reporting

Education

Master's Degree in Social Work

3 years Social Service experience

Job description

Central California Alliance for Health is seeking a Complex Case Management professional to coordinate interventions for pediatric members. The role emphasizes collaboration with an interdisciplinary team to promote high-quality, cost-effective care and navigation of the managed care system.

Qualified candidates hold a Master’s in Social Work with at least three years in social services within acute care, community agency, or managed care settings.