Care Coordinator - Care Management

Location: Mariposa County, California; Merced County, California; Monterey County, California; San Benito County, California; Santa Cruz County, California

Applications being accepted through Friday, April 18th at 5pm PT

We currently have two opportunities to join the Alliance as a Care Coordinator - Care Management in the Pediatric Care Management Department.

Reporting to the Care Coordination Supervisor, this position:

• Assists assigned team with the coordination of health care activities for Alliance members
• Establishes and maintains effective working relationships with Provider offices, County departments and other community agencies related to care coordination for members
• Recommends and implements program improvements that strengthen member access and health outcomes

ABOUT THE TEAM

In the Care Management department, our 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.

The Care Coordination team coordinates the care of our members with complex issues.

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description, and list of requirements click here.

• Knowledge of:
  
  
  
  
  • Bilingual (English/Spanish) desired, but not required
  • The principles and practices of managed health care and health care systems
  • Customer service
  • Care coordination principles and practices
  • The diverse needs of the Medi-Cal population
  
  
  
  
• Ability to:
  
  
  
  • Understand and communicate the workings of the Alliance, particularly the Utilization Management and Complex Case Management, Community Care Coordination and Member Services departments
  • Competently navigate computer systems
  • Use Microsoft Word and Excel, and Alliance computer systems
  • Work independently with minimal supervision
  • Identify, maintain, and protect sensitive HIPAA information (Personal Health Information) and following procedures to ensure the security of such information
  
  
  
  
• Education and Experience:
  
  
  
  • High school diploma or equivalent
  • Three years (or an Associate's degree in health, social services or a related field or Medical Assistant certification and a minimum of two years) of relevant experience in a health care setting interacting with members, patients and/or providers in meeting service needs; or a combination of education and relevant work 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.

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).

Typical areas in Zone 1: Bay Area, Sacramento, Los Angeles area, San Diego area

Typical areas in Zone 2: Fresno area, Bakersfield, Central Valley (with the exception of Sacramento), Eastern California, Eureka area