Care Coordinator, Transition of Care, Bilingual Spanish

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Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

🛡️ Insurance

🏥 Healthcare

💰 $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 by telephone to assist with referrals, authorizations, home health care, durable medical equipment needs, medication refills, provider appointments, and follow-ups • Create cases and tasks and complete documentation in the Case Management module for hospital and skilled nursing facility discharges • Complete and document tasks assigned by the nurse • Collaborate with the Case Manager to engage and manage a panel of members • Manage new alerts and update the Case Manager about changes in condition, admissions, discharges, or new diagnoses • Establish relationships with members, earn their trust, and act as a patient advocate • Escalate concerns to the nurse when members appear non-compliant or show a change in condition • Assist with outreach activities for members across Case Management Programs • Maintain and update member records • Mail or fax correspondence to members, primary care physicians, and specialists • Request and upload medical records from primary care physicians, specialists, hospitals, and other sources • Meet deadlines and prioritize tasks according to department policies, standards, and needs • Maintain confidentiality of information among healthcare professionals • Perform other duties assigned by the Care Management Supervisor, Manager, or Director

🎯 Requirements

• Minimum 1 year of experience working in healthcare, such as a health plan, medical office, IPA, or MSO • Minimum 1 year of experience assisting members or patients with authorizations, appointment scheduling, resource identification, and related needs • High school diploma or GED required • Bachelor's degree or four additional years of experience in lieu of education • Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals • Ability to write routine reports and correspondence • Effective customer relations and professional communication skills • Ability to provide leadership, teach, and collaborate with others • Effective problem-solving, organizational, and time-management skills • Ability to work in a fast-paced environment • Knowledge of managed care plans • Knowledge of Medi-Cal • Basic computer skills and typing speed of 25 WPM • Proficiency with Microsoft Outlook, Excel, and Word • Ability to add, subtract, multiply, and divide using American money, weight, volume, and distance measurements • Ability to apply common-sense understanding to detailed written or oral instructions • Ability to deal with problems involving a few concrete variables in standardized situations • Bilingual English/Spanish preferred • Medical Assistant training and Medical Terminology training preferred • Medical Assistant Certificate and Medical Terminology Certificate preferred • Ability to meet stated physical demands, including standing, walking, sitting, reaching, handling objects, and lifting or moving up to 10 pounds