About the role
- Reach out to members regarding referrals, prior authorizations, medication refills, and appointment scheduling
- Support transitions of care by completing tasks and assessments after hospital or SNF discharges
- Collaborate with RN Case Managers to manage care for a panel of SNP members
- Monitor alerts (e.g., new diagnoses, admissions, discharges) and communicate important changes to the care team
- Serve as a trusted point of contact for members—building relationships and advocating for their care
- Maintain accurate and timely documentation in the Case Management system
- Assist with provider communications, including record requests and document distribution
- Participate in team meetings and case reviews to help optimize member care
- Maintain compliance with HIPAA, organizational policies, and departmental deadlines
Requirements
- Bilingual in Spanish or Vietnamese (required)
- 1+ year of experience in a healthcare IPA setting
- 1+ year of experience with referrals and prior authorizations
- High school diploma or GED (Bachelor’s degree preferred; or 4 years of equivalent experience in lieu of degree)
- Basic proficiency in Microsoft Outlook, Word, and Excel; typing speed of 25+ WPM
- Strong communication and interpersonal skills
- Ability to prioritize and multitask in a fast-paced, high-volume environment
- Familiarity with Medi-Cal and managed care plans
- Be part of a mission-driven organization making healthcare more accessible for seniors
- Work in a collaborative, inclusive, and remote-friendly environment
- Build a career where your compassion and attention to detail make a daily impact
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
referralsprior authorizationsmedication refillsappointment schedulingcase managementdocumentationprovider communicationsMedi-Calmanaged care plans
Soft skills
bilingualcommunicationinterpersonal skillsprioritizationmultitaskingrelationship buildingadvocacy
Certifications
high school diplomaGEDBachelor’s degree (preferred)