Care Coordinator - D-SNP

We give priority to applicants who live in or near our service counties: Santa Cruz, Monterey, Merced, San Benito, and Mariposa.

About the role

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

About the team

The Care Management Department's mission is to coordinate care and empower members to achieve their health and wellness goals through collaboration and by facilitating member relationships with community providers. We bring the voice of the member into the room when collaborating with our fellow departments at the Alliance.

Requirements

Knowledge of:

• The principles and practices of health care and health care systems
• The principles and customer service
• The principles and practice of health education
• The diverse needs of the Medi-Cal and Medicare D-SNP populations

Ability to:

• 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
• Quickly learn and competently navigate Microsoft Excel and Alliance computer systems
• Communicate the program mission, vision, and roles
• Educate on care coordination for the D-SNP program and make presentations to individuals and groups

Qualifications

• 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, which would provide the required knowledge, skills and abilities may be qualifying)

Other information

• Hybrid work environment with remote interviews conducted via Microsoft Teams
• Attendance at quarterly company-wide events or department meetings expected
• In-office or in-community presence may be required for some positions and is dependent on business need

Pay

Zone 1 Pay Range: $32.00 - $39.30

Typical areas in Zone 1: Santa Cruz, San Benito, and Monterey Counties, Bay Area, Sacramento, Los Angeles and San Diego areas

Zone 2 Pay Range: $30.00 - $37.00

Typical areas in Zone 2: Mariposa and Merced Counties, Fresno area, Bakersfield, Eastern California, San Luis Obispo area, and the Central Valley (except Sacramento)

The applicable salary ranges are based on work location and are aligned to a zone according to the cost of labor in your area. Final compensation will be determined by qualifications, internal equity, market factors, and geographic location.

Benefits

Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.

• 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. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties.