Bilingual Care Coordinator, Outpatient Case Management
Alignment Health
full-time
Posted on:
Location Type: Remote
Location: California • 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
- Other duties as assigned by case manager (CM) supervisor, manager or director of care management.
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.
- Required: High School Diploma or GED
- Preferred: Bachelor's degree or four years additional experience in lieu of education.
- Required: Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.
- Required: Able to write routine reports and correspondence.
- Required: Knowledge of Managed Care Plans
- Required: Knowledge of Medi-Cal
- Required: Basic computer proficiency, type a minimum 35 words per minute (WPM), proficient in Microsoft Office suite (Outlook, Excel, Word)
Benefits
- Health insurance
- Paid time off
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
case managementdocumentationauthorizationsscheduling appointmentsmedical records managementbasic computer proficiencytyping (minimum 35 WPM)Microsoft Officereport writinginterpretation of documents
Soft Skills
communicationteamworkrelationship buildingtrust buildingpatient advocacyproblem-solvingconfidentialitytime managementprioritizationadaptability
Certifications
High School DiplomaGEDBachelor's degree (preferred)