SNP Care Coordination Leader

Alignment Health; Orange (CA); On-site; USD 59,000 - 88,000; Full time

Job summary

Alignment Health is seeking a Supervisor, Care Coordination SNP to lead the SNP Care Coordination team and ensure timely health risk assessments, ICP development, and ICT delivery for SNP members with complex needs. You will mentor non-clinical Care Coordinators, oversee SOPs, and coordinate with CM leadership to drive program performance.

The role emphasizes staff development, cross-team collaboration, and adherence to regulatory requirements, with a focus on timeliness and quality audits.

Qualifications

• 3+ years Care Coordination experience; or any combination of education and experience, which would provide an equivalent background.
• 1+ years supervisory/lead experience in a health care setting or any combination of education and experience, which would provide an equivalent background.
• High school diploma or general education degree (GED); with one to three months related experience and/or training; or equivalent combination of education and experience.
• Knowledge of Managed Care Plans and medical terminology
• Computer Skills, 25 WPM (Microsoft Outlook, excel, word)
• Good oral, written and telephone skills
• Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
• Read, write and speak English fluently.

Responsibilities

• Create and maintain an environment that inspires and encourages the growth and engagement of team members.
• Provide guidance to staff or directly manage complicated coordination requests from members, providers, or staff.
• Assist with the development and oversight of SNP Care Coordination programs, projects, and workflows.
• Development of standard operating procedures (SOP) and reports.
• Collaborate with other supervisors and managers in the department to improve processes and workflow.
• Act as a resource to the members, providers, and community partners.
• Communicate effectively, both verbally and in writing, including presentations as required.
• Establish and maintain effective interpersonal relationships with staff at all levels, providers, other departments, or programs.
• Build team engagement
• Communicate with internal and external customers in a professional manner and follows through on commitments.
• Initiate and follow through on projects.
• Work well as part of a team to manage/lead multiple projects simultaneously.
• Think critically to solve problems effectively.
• Work closely as a liaison between management and the team to ensure that new cases assigned are touched in a timely manner.
• Review reports on program performance, identifies reporting opportunities and gaps to ensure the effective delivery of the SNP program.
• Participate in SNP quality audits including CMS program audits and vendor audits to assess timeliness of SNP activities.
• Reports audit results and identifies opportunities for process improvements
• Effectively communicate and keep the Care Management leadership team informed of all departmental operations, activities, data, program performance, issues or any other pertinent information that would impact the overall program compliance or achievement of internal goals.
• Review reporting to assign tasks to Care Coordinators for completion of time sensitive items.
• Mentor, train, audit, coach and manage a team of non-clinical Care Coordinator staff to ensure compliance with Alignment policies and procedure and all regulatory requirements
• Direct administrative work as needed, including but not limited to maintaining and updating member’s records, mailing, or faxing correspondence to PCP’s/Specialists, opening cases and tasks in the Care Management platform to meet specific deadlines.
• Assist with Case Management team coverage plans as needed
• Maintain confidentiality of information between and among health care professionals
• Other duties as assigned by CM Supervisor, Manager, or Director

Job description

Alignment Health is seeking a Supervisor, Care Coordination SNP to lead the SNP Care Coordination team and ensure timely health risk assessments, ICP development, and ICT delivery for SNP members with complex needs. You will mentor non-clinical Care Coordinators, oversee SOPs, and coordinate with CM leadership to drive program performance.

The role emphasizes staff development, cross-team collaboration, and adherence to regulatory requirements, with a focus on timeliness and quality audits.