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 over 350,000 members in Santa Cruz, Monterey and Merced counties.
WHAT YOU'LL BE RESPONSIBLE FOR
Participating 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 of skilled care setting that are at high risk for readmission. You will also work with, and provide assistance and education, to members, providers, external agencies and internal departments on UM Concurrent Review programs and participate in quality improvement studies to continually evaluate program effectiveness and promotion of quality-driven, cost-effective and achievable goals and outcomes for members.
ABOUT THE TEAM AND ROLE:
The Utilization Management Concurrent Review Team Social Worker has unique responsibilities with a variety of roles and tasks that create a diverse work experience. This position is responsible for seeing members in the inpatient acute setting as well as the skilled nursing setting. The MSW works collaboratively with the entire team of concurrent review nurses, focusing on identifying the needs and barriers that the member may face upon discharge from a facility.
THE IDEAL CANDIDATE WILL:
WHAT YOU'LL NEED TO BE SUCCESSFUL
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 sponsorship
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