Pediatric Case Manager (MSW) — Temp, Hybrid Role

Central California Alliance for Health; California; Hybrid; USD 54,000 - 69,000; Full time

Job summary

Central California Alliance for Health is seeking a temporary Complex Case Management professional (RN supervision) to lead individualized intervention plans for members in the Case Management program, aiming for cost-effective, high-quality outcomes.

You will collaborate with an interdisciplinary team, educate stakeholders, and support navigation of the managed care system to improve member care and outcomes.

Qualifications

• Master’s Degree in Social Work required.
• Three years of Social Service experience in an acute care setting, community agency or managed care environment; or an equivalent combination of education and experience.
• Knowledge of case management including assessment, care/treatment planning, discharge planning and documentation.
• Ability to use proactive customer service skills in handling complex situations and advocate for quality of care.

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 with the interdisciplinary Case Management team to educate members, providers, external agencies, and internal departments and assist in navigating the managed care system.
• Participates in Quality Improvement efforts to continually evaluate the Case Management Program’s effectiveness and outcomes.

Skills

Case management

Interdisciplinary teamwork

Quality Improvement

Customer service

Advocacy

Documentation

Community resources

Education

Master’s Degree in Social Work

Three years Social Service experience

Tools

MS Teams

Job description

Central California Alliance for Health is seeking a temporary Complex Case Management professional (RN supervision) to lead individualized intervention plans for members in the Case Management program, aiming for cost-effective, high-quality outcomes.

You will collaborate with an interdisciplinary team, educate stakeholders, and support navigation of the managed care system to improve member care and outcomes.