Care Coordinator I Temporary

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ABOUT THIS TEMP POSITION
This is a temporary position and the length of assignment is estimated to go from 7/2022 to 10/2022. The length of the assignment is always dependent on business need 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
We are looking for both Pediatric and Enhanced Care Management (Adult) Care Coordinators.
The Pediatric Care Coordinators would be responsible for:
Conducting telephone interviews with members, significant others and family members to determine if care needs are being met or if additional services are needed
Ensuring that members make and keep scheduled medical appointments
Facilitating prior authorization of services with provider offices and community agencies
Identifying gaps in care for members and arranging appropriate and timely resolution with internal and external agencies
Scheduling assessments, coordinating and obtaining medical records and authorizations and ensuring processes are completed within state required timelines
Utilizing the Alliance computer system to complete tasks, update care plans, assessments and interventions
Attending Care Rounds as assigned and contributing updates to member’s care plans, making recommendations for improvement in outcomes and following up with interventions and tasks as assigned
May be assigned to back up Care Coordination - Intake Coordinator in reviewing and assigning internal and external referrals to appropriate staff
May assist staff with transcribing clinical documentation
The Enhanced Care Management (Adult) Care Coordinators would be responsible for:
Conducting telephone interviews with providers, members, and family members to determine if criteria are met for member to receive services
Obtaining and/or entering authorization requests for services with follow up to ensure and coordinate delivery, such as ensuring appropriate contact information is available for providers to conduct outreach to the member
Facilitating prior authorization of services with provider offices and community agencies
Coordinating and obtaining medical records, as needed, and authorizations and ensuring processes are completed within state required timelines
Utilizing the Alliance computer system to complete tasks and review appropriate information
Attending meetings as assigned and contributing updates to member’s care plans, and following up with pertinent information and tasks as assigned
Creating new authorizations, thoroughly documenting and monitoring notes in the Alliance computer system
May assist staff with transcribing clinical documentation
Communicating, both orally and in writing, with members, providers, and internal stakeholders
Performing administrative duties to track, organize, monitor and follow-up on case work
Tracking receipt, assignment, enrollment and disenrollment of cases/authorizations
Monitoring electronic queues to ensure requests are entered and assigned appropriately
WHAT YOU'LL NEED TO BE SUCCESSFUL
To read the full position description, and list of requirements click here
Knowledge of:
Customer Service
Care coordination principles and practices
Health education principles and practices
Diverse needs of the Medi-Cal population
Bilingual (English/Spanish) is preferred but not required
Ability to:
Understand and communicate the workings of the Alliance, particularly the Utilization Management and Complex Case Management, Community Care Coordinator, and Member Services departments
Competently navigate computer systems
Use Microsoft Word and Excel, and Alliance computer systems
Work independently with minimal supervision
Verbally communicate the program mission, vision, and roles
Education and Experience:
High school diploma or equivalent and 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 DETAILS
While this position is connected to one of our Alliance offices, we are in hybrid telecommute work environment right now and we anticipate that the interview process will take place remotely.
Our Alliance office locations have officially re-opened as of May 2, 2022 and while some employees may work in full-time telecommute schedules, attendance at quarterly company-wide events or department meetings will be expected.
Based on the nature of work, this position may require onsite presence, which 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)
COVID-19 Vaccine Requirement:
This position requires staff to be fully vaccinated and boosted upon their start date as a condition of employment. Proof of vaccination must be submitted at time of hire. Fully vaccinated and boosted is defined as receipt of the second dose in a 2-dose series (Pfizer & Moderna vaccines) OR receipt of a single-dose vaccine (Johnson & Johnson); AND receipt of the booster (if eligible); AND a 2-week period having passed since the administration of the last vaccine dose.
Additionally, all positions at the Alliance are required to meet these minimum qualifications.
OUR BENEFITS
Medical, Dental and Vision Plans
Ample Paid Time Off
11 Paid Holidays per year
401(a) Retirement Plan
457 Deferred Compensation Plan
Robust Health and Wellness Program
EV Charging Stations
And many more
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 **MEMBERS ONLY**SIGN UP NOW***. (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 Merced, Monterey and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet
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.

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