ABOUT THIS TEMP POSITION
This is a temporary position and the length of assignment is estimated to go from May to the end of the summer The length of the assignment is always dependent on business needs and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with.
WHAT YOU'LL BE RESPONSIBLE FOR
Reporting to the Utilization Management Supervisor, this position:
- Participate in the Utilization Management (UM) Concurrent Review interdisciplinary team and care transitions assignments responsible for the psychosocial management of members in long term care placements and members newly discharged from an acute care or skilled care setting that are at high risk for re-admission
- Work with, provides assistance and educates members, providers, external agencies and internal departments on UM Concurrent Review programs
- Participate in quality improvement studies to continually evaluate program effectiveness and promotion of quality driven, cost effective and achievable goals and outcomes for members
WHAT YOU'LL NEED TO BE SUCCESSFUL
To read the full position description, and list of requirements click here.
- Knowledge of:
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- The principles and practices of case management, including assessment,care/treatment planning, discharge planning and documentation
- The principles and practices of care transitions and coordination
- Governmental and non-profit resources utilized to assist members in achieving goals
- The utilization of evidence-based practice guidelines, including as applied to development of a plan of care
- Ability to:
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- Create, document, and implement intervention plans
- Manage complex priorities with increasing independence, in order to meet increase in role responsibilities
- Competently navigate computerized Electronic Health Records (EHRs)
- Education and Experience:
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- Bachelor’s degree in Social Work and two years (or a Master’s degree and one year) of Social Work experience in an acute care setting, community agency or managed care environment; 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.
- This is a temporary position and does not provide the benefits that are listed below (it is standard language from our regular job posts and cannot be altered or removed).
The full compensation range for this position is listed by location below.
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).
OUR 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.