Central California Alliance for Health
Care Coordinator D-SNP (Defined Term)
Central California Alliance for Health, Santa Cruz, California, us, 95061
Care Coordinator – D‑SNP
We have an opportunity to join the Alliance as a Care Coordinator – D‑SNP in the Care Management Department. This is a defined‑term position that is fully benefited and is limited to a specific end date not to exceed December 31, 2026.
Responsibilities
Supports the Medicare Dual Special Needs Plan (D‑SNP) Care Management team with coordination of services and activities for members enrolled in D‑SNP
Collaborates with internal and external partners to promote efficient care coordination and support members in navigating care transitions, appointments, and referrals
Contributes to the effective operation and improvement of Care Management D‑SNP programs
Qualifications
Knowledge of:
The principles and practices of health care and health care systems
The principles and practices of customer service
The principles and practices of health education
The diverse needs of the Medi‑Cal and Medicare D‑SNP populations
Quickly learn, understand, and communicate the workings of the Alliance, particularly the Utilization Management and Complex Case Management, Community Care Coordination, ECM, and Member Services departments
Ability to:
Educate on care coordination for the D‑SNP program and make presentations to individuals and groups
Interpret, explain, and apply policies, procedures, and guidelines
Clearly, completely, and independently document, summarize and resolve member's concerns and inquiries, and recognize those issues requiring escalation to a higher level
Organize and prioritize work, follow up as needed, meet timelines, and ensure compliance with regulatory requirements
Education and Experience:
High school diploma or equivalent
Three years of experience in a health care setting that involved interacting with members, patients and/or providers in meeting service needs (an Associate's degree in Health, Social Services or a related field or current certification as a Medical Assistant may substitute for one year of the required experience); or an equivalent combination of education and experience may be qualifying
Other Information
We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams.
While some staff may work full telecommuting schedules, attendance at quarterly company‑wide events or department meetings will be expected.
In‑office or in‑community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
Compensation Zone 1 (Monterey, San Benito and Santa Cruz): $26.33 – $42.14 USD
Zone 2 (Mariposa and Merced): $23.96 – $38.35 USD
Benefits
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
About Us We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non‑profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet.
The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E‑Verify participating employer.
At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full‑time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.
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Responsibilities
Supports the Medicare Dual Special Needs Plan (D‑SNP) Care Management team with coordination of services and activities for members enrolled in D‑SNP
Collaborates with internal and external partners to promote efficient care coordination and support members in navigating care transitions, appointments, and referrals
Contributes to the effective operation and improvement of Care Management D‑SNP programs
Qualifications
Knowledge of:
The principles and practices of health care and health care systems
The principles and practices of customer service
The principles and practices of health education
The diverse needs of the Medi‑Cal and Medicare D‑SNP populations
Quickly learn, understand, and communicate the workings of the Alliance, particularly the Utilization Management and Complex Case Management, Community Care Coordination, ECM, and Member Services departments
Ability to:
Educate on care coordination for the D‑SNP program and make presentations to individuals and groups
Interpret, explain, and apply policies, procedures, and guidelines
Clearly, completely, and independently document, summarize and resolve member's concerns and inquiries, and recognize those issues requiring escalation to a higher level
Organize and prioritize work, follow up as needed, meet timelines, and ensure compliance with regulatory requirements
Education and Experience:
High school diploma or equivalent
Three years of experience in a health care setting that involved interacting with members, patients and/or providers in meeting service needs (an Associate's degree in Health, Social Services or a related field or current certification as a Medical Assistant may substitute for one year of the required experience); or an equivalent combination of education and experience may be qualifying
Other Information
We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams.
While some staff may work full telecommuting schedules, attendance at quarterly company‑wide events or department meetings will be expected.
In‑office or in‑community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
Compensation Zone 1 (Monterey, San Benito and Santa Cruz): $26.33 – $42.14 USD
Zone 2 (Mariposa and Merced): $23.96 – $38.35 USD
Benefits
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
About Us We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non‑profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet.
The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E‑Verify participating employer.
At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full‑time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.
#J-18808-Ljbffr