Care Coordinator D-SNP (Defined Term) at Central California Alliance for Health

, California, United States -

Full Time

Start Date

Immediate

Expiry Date

14 Jan, 26

Salary

42.14

Posted On

16 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Health Care Systems, Customer Service, Health Education, Care Coordination, Policy Interpretation, Documentation, Organizational Skills, Regulatory Compliance

Industry

Hospitals and Health Care

Description

Accepting applications through Wednesday, October 22, 2025 by 5:00 pm. This is a Defined Term position, which is designated by the Alliance and is a position of limited duration. Defined Term employees are usually hired to work in a specific department on specific long-term project work until the work is completed or to a specific end date not to exceed December 31, 2026. This is a Defined Term and fully benefited position. We have an opportunity to join the Alliance as a Care Coordinator - D-SNP in the Care Management Department. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Medicare Care Management Manager (RN), this position: 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 WHAT YOU'LL NEED TO BE SUCCESSFUL To read the full position description, and list of requirements click here. Knowledge of: The principles and practices of health care and health care systems The principles and practices of customer service The principles and practices of health education The diverse needs of the Medi-Cal and Medicare D-SNP populations 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 Ability to: Educate on care coordination for the D-SNP program and make presentations to individuals and groups Interpret, explain, and apply policies, procedures, and guidelines Clearly, completely, and independently document, summarize and resolve member’s concerns and inquiries, and recognize those issues requiring escalation to a higher level Organize and prioritize work, follow up as needed, meet timelines, and ensure compliance with regulatory requirements Education and Experience: 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 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 transferable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location). Zone 1 (Monterey, San Benito and Santa Cruz) $26.33—$42.14 USD Zone 2 (Mariposa and Merced) $23.96—$38.35 USD OUR 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. 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.

Responsibilities

The Care Coordinator supports the Medicare Dual Special Needs Plan (D-SNP) Care Management team with coordination of services for members. This role involves collaborating with partners to promote efficient care coordination and improve D-SNP programs.