Bilingual Spanish Care Coordinator, Outpatient Case Management
Alignment Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $41,472 - $62,208 per year
Job Level
About the role
- Reach out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, make provider appointments and follow ups, etc.
- Create cases, tasks, and complete documentation in the case management module for all hospital and skilled nursing facility (SNF) discharges
- Comply and document tasks assigned by nurse
- Work as a team with the case manager to engage and manage a panel of members
- Manage new alerts and update case manager on changes in condition, admission, discharge, or new diagnosis
- Establish relationships with members, earn their trust and act as patient advocate
- Escalate concerns to nurse if members appear to be non-compliant or there appears to be a change in condition
- Assist with outreach activities to members in all levels of case management programs
- Assist with maintaining and updating members' records
- Assist with mailing or faxing correspondence to members, primary care physicians (PCP), and / or Specialists
- Request and upload medical records from PCP’s, specialists, hospitals, etc.
- Meet specific deadlines (respond to various workloads by assigning task priorities according to department policies, standards, and needs)
- Maintain confidentiality of information between and among health care professionals
Requirements
- Minimum (1) year experience working in health care such as health plan, medical office, Independent Practice Association (IPA), Management Services Organization
- Minimum (1) year experience assisting members / patients with authorizations, scheduling appointments, identification of resources, etc.
- High School Diploma or GED.
- Bachelor's degree or four years additional experience in lieu of education
- Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals
- Medical assistant training, medical terminology training
- Problem-Solving Skills: Effective problem solving, organizational and time management skills and able to work in a fast-paced environment. Knowledge of Managed Care Plans Knowledge of Medi-Cal
Benefits
- Health insurance
- Retirement plans
- Paid time off
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
case managementmedical terminologyauthorizationsscheduling appointmentsdocumentationmedical records managementpatient advocacyproblem-solvingorganizational skillstime management
Soft Skills
interpersonal skillscommunication skillsteamworktrust-buildingescalation of concernsadaptabilityconfidentiality
Certifications
High School DiplomaGEDmedical assistant training