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 approximately 350,000 members in Santa Cruz, Monterey and Merced counties. To learn more about us, click here or check out this video.
WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Care Management Manager, you will be responsible for supervising the daily activities of the Care Management staff as well as coordinating and implementing effective and efficient Care Management programs and processes, including Complex Care Management, Pediatric Care Management, Medical Social Work, and Care Coordination.
ABOUT THE TEAM This is a new team forming in the Care Management Department as we, the Alliance, a Medi-Cal managed care plan, implement the Whole-Child Model (WCM), and incorporate California Children’s Services (CCS) covered services into our plan. CCS is a statewide program for children with special health care needs. The CCS services were previously “carved out” (not a covered benefit of our plan) and were coordinated by the respective counties in our contracted areas. We are working with each county in preparation for our July 1, 2018 implementation date to assume responsibility for payment, authorization and care coordination of primary and specialty services for CCS-eligible children and youth. To learn more about the WCH model, integration of CCS services and other resources, click here.
THE IDEAL CANDIDATE • Be excited about being a part of something new for the health plan, and acknowledge the challenge and opportunity that this time presents • Learn from our County partners as we implement this program, with a goal of a seamless transition for the families as we target our July 1st effective date • Be motivated to serve children with special health care needs and partner with their families while able to maintain professional boundaries in relationships that could be built from the time a member is in the NICU to the time they are 21 • Be flexible in a changing and dynamic environment, and appreciate that each day will be a bit different • Be comfortable spending time on-site with the County during training and onboarding and then translating the knowledge and information back to us
WHAT YOU'LL NEED TO BE SUCCESSFUL • Knowledge of: - The principles and practices of case management - The principles and practices of supervision and training - Research, analysis and reporting methods • Ability to: - Supervise, mentor, train, evaluate and coordinate the work of staff - Organize and prioritize the work of others, delegate effectively, and follow up on work assignments - Motivate staff, lead teambuilding exercises, and promote an atmosphere of teamwork and cooperation - Identify issues, conduct research, gather and analyze information, reach logical and sound conclusions and make recommendations for action • Education and Experience: - Current unrestricted license as a Registered Nurse issued by the State of California and an Associate’s degree in Nursing - A minimum of five years of experience in a patient care setting, including at least one year of case management experience and two years of supervisory experience supervising pediatric case management or an equivalent combination of education and experience which would provide the required knowledge, skills and abilities may be qualifying
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 • Fresh Fruit Delivery • EV Charging Stations • And and many more!
Applicants must be currently authorized to work in the United States on a full-time basis.
Internal Number: 43595
About Central California Alliance for Health
The Alliance is an award-winning regional non-profit health plan, established in 1996, with over 19 years of successful operation. Using the State’s County Organized Health System (COHS) model, we currently serve 328,486 members in Santa Cruz, Monterey and Merced counties. We work in partnership with our contracted providers to promote prevention, early detection and effective treatment, and improve access to quality health care for those we serve. This results in the delivery of innovative community-based health care services, better medical outcomes and cost savings. The Alliance is governed with local representation from each county on our Board of Commissioners.