Medical Social Worker (Temporary)

The role

The Medical Social Worker develops and manages individualized intervention plans for members in the Case Management program. This role works with an interdisciplinary team to facilitate quality outcomes and participates in Quality Improvement efforts.

What you will do

• Develops and manages an individualized intervention plan for members
• Works in conjunction with the interdisciplinary Case Management team
• Educates members, providers, external agencies, and internal departments
• Provides assistance in navigating the managed care system
• Participates in Quality Improvement efforts

Required qualifications

• Master’s Degree in Social Work
• 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 the principles and practices of case management including assessment, care/treatment planning, discharge planning and documentation
• Knowledge of availability and means of utilizing community resources for special services
• Knowledge of Medi-Cal and related policies and regulations
• Knowledge of reporting methods for cases of abuse or neglect
• Ability to use pro-active customer service skills in handling complex and demanding situations
• Ability to advocate on behalf of the individual to assure quality of care and attainment of appropriate goals
• Ability to create, document and implement intervention plans
• Ability to evaluate medical records and other health care data

Nice to have

• Priority to those who live in, or near, our service counties: Santa Cruz, Monterey, Merced, San Benito, and Mariposa

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

Before you apply

• 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
• The Alliance does not provide any type of sponsorship

About the company

Central California Alliance for Health (the Alliance) is a regional non-profit health plan with over 500 employees. They serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties.