
501 - 1000 employees
Founded 2013
⚕️ Healthcare Insurance
💰 $135M Series C on 2020-03
Healthcare Insurance • Insurance • Healthcare
Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.
🕒 May 15
🗣️🇪🇸 Spanish Required
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501 - 1000 employees
Founded 2013
⚕️ Healthcare Insurance
💰 $135M Series C on 2020-03
Healthcare Insurance • Insurance • Healthcare
Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.
• Create cases, tasks, and complete documentation in the Case Management module for all Hospital and SNF discharges • Reach out to members telephonically to assist with referrals, authorizations, home health care (HHC), durable medical equipment (DME), medication refills, and scheduling provider appointments and follow-ups • Request and upload medical records from PCPs, specialists, hospitals, and other providers, including discharge summaries • Work as a team with the RN Case Manager to engage and manage a panel of members • Manage new alerts and update the Case Manager of changes in condition, admission, discharge, or new diagnoses • Complete and document tasks assigned by nurse • Establish relationships with members, earn their trust, and act as a patient advocate • Escalate concerns to nurse if members appear to be non-compliant or there is a change in condition • Assist with outreach activities to members across all levels of case management programs • Assist with maintaining and updating member records • Assist with mailing or faxing correspondence to members, primary care physicians (PCPs), and/or specialists • Meet specific deadlines by prioritizing tasks according to department policies, standards, and business needs
• Minimum 1 year of experience in care coordination, case management, or transitions of care within a health plan, IPA, MSO, or medical office setting • Experience supporting members/patients with scheduling, authorizations, referrals, and coordination of services (e.g., home health, DME, follow-up care) • Experience interacting directly with patients/members in a telephonic or care coordination setting • Required: High School Diploma or GED and / or (4) years' relevant experience in lieu of education. • Preferred: Bachelor's degree • Required: Bilingual English and Spanish • Proficient Computer Skills, Able to type 35 WPM by 10-key touch (Microsoft Outlook, Excel, Word)
• None listed
Apply Now🕒 May 15
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