D-SNP Clinical Advisor

Central Coast Hourly Range: $135.15 - $216.24 Per Hour

​​​​​​​While candidates from anywhere in California are welcome to apply, there is a strong preference for those who reside on the Central Coast (Ventura, Santa Barbara, San Luis Obispo, Monterey and Santa Cruz Counties). This role may offer opportunities for remote work; however, familiarity with and proximity to our local customers is valued.

Job Summary

Under the direction of the Chief Medical Officer, the D-SNP Clinical Advisor is responsible for:

1. Providing clinical expertise in the implementation of the D-SNP Model of Care (MOC).

2. Providing clinical guidance and consultation to the Chief Medical Officer, Medical Directors, and D-SNP clinical teams regarding tactical execution of the D-SNP Program including but not limited to utilization, quality, care management, and grievances/appeals.

3. Serving as a strategic clinical advisor to the D-SNP Program, supporting the development, implementation, and continuous improvement of CenCal Health’s D-SNP.

4. Other duties as assigned.

Duties and Responsibilities

1. Providing clinical leadership and contribution in the implementation of the D-SNP Model of Care (MOC) with duties including but not limited to:

• Serving as a subject matter expert of D-SNP clinical operations in the training and development of CenCal Health’s medical directors and clinical staff during the pre-launch phase and launching of our D-SNP line of business, CenCal CareConnect.

• Providing consultation, advice and support for the D-SNP Model of Care implementation, ensuring alignment with regulatory requirements and clinical best practices.

• Advising on care coordination strategies, health risk assessments, individualized care plans, and clinical documentation standards to support MOC compliance.

• Participating in the development of staff training and education programs related to the MOC, including training for internal teams and delegated entities.

• Consulting on policies and procedures related to D-SNP operations, care coordination, utilization protocols, and clinical documentation to ensure consistency with the MOC.

• Providing expertise and clinical insight into the development of effective Interdisciplinary Care Team (ICT) meetings.

• Participating in medical director meetings that address the management and care of D-SNP members or that include training, advising, or guiding CenCal Health’s medical directors in the execution of D-SNP clinical pathways.

• Collaborating with our internal teams as they develop care plans that address the unique medical, behavioral, and social needs of D-SNP members, improving both individual and population-level health outcomes.

• Collaborating with the CMO, Medical Directors, and D-SNP Clinical teams to assess provider feedback and design or adapt clinical processes in response to provider needs.

• Partnering with Health Service’s training sponsor to serve as a clinical subject matter expert in the development and delivery of internal D-SNP training initiatives, particularly those involving the Model of Care and other content requiring clinical expertise.

1. Providing clinical guidance and consultation to the