Pediatrics Case Manager — Hybrid & Impactful Social Work

Central California Alliance for Health; Hollister (CA); Híbrido; USD 54.000 - 69.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Hybrid work environment

Descripción de la vacante

Central California Alliance for Health is seeking a temporary Complex Case Management professional to manage individualized intervention plans for pediatrics and work within a multidisciplinary team to achieve optimal outcomes. The role emphasizes navigating the managed care system, education of members and providers, and quality improvement initiatives.

Requirements include a Master’s Degree in Social Work and at least three years of social service experience in acute care, community agency, or

Formación

• Master's degree in Social Work is required.
• Three years of social service experience in an acute care setting, community agency or managed care environment.
• Knowledge of the principles and practices of case management including assessment, care/treatment planning, discharge planning and documentation.
• Ability to use proactive customer service skills in handling complex and demanding situations.

Responsabilidades

• 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

Conocimientos

Case management knowledge

Customer service

Advocacy

Documentation

Educación

Master's Degree in Social Work

Descripción del empleo

Central California Alliance for Health is seeking a temporary Complex Case Management professional to manage individualized intervention plans for pediatrics and work within a multidisciplinary team to achieve optimal outcomes. The role emphasizes navigating the managed care system, education of members and providers, and quality improvement initiatives.

Requirements include a Master’s Degree in Social Work and at least three years of social service experience in acute care, community agency, or