Bilingual Care Coordinator, Outpatient Case Management

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Alignment Health

WebsiteLinkedInAll Job Openings

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.

📋 Description

• 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, in this fully remote role, 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. • High School Diploma or GED required • Bachelor's degree or four years additional experience in lieu of education preferred • Medical assistant training, medical terminology training preferred • Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals • Able to write routine reports and correspondence • Must possess 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 • Basic computer proficiency, minimum 35 words per minute (WPM) • Proficient in Microsoft Office suite (Outlook, Excel, Word) • Bilingual English and Spanish preferred

🏖️ Benefits

• Health insurance • Paid time off • Professional development opportunities