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Supervisor, SNP Care Coordination – Bilingual Spanish Preferred

🔥 9 minutes ago

🇺🇸 United States – Remote

💵 $58.5k - $87.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💬 Bilingual

Where this job comes from

Posted on Alignment Health's careers page, not through a job board

First seen by Remote Rocketship 9 minutes ago

Logo of Alignment Health

Alignment Health

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

• Oversee the SNP Care Coordinator team and assigned staff. • Support compliance with Care Management program requirements outlined in the Model of Care. • Monitor timely completion of Health Risk Assessments, Individualized Care Plans, and Interdisciplinary Care Team delivery for SNP members. • Create and maintain an environment that inspires and encourages team member growth and engagement. • Guide staff or directly manage complicated coordination requests from members, providers, or staff. • Assist with development and oversight of SNP Care Coordination programs, projects, workflows, standard operating procedures, and reports. • Collaborate with supervisors and managers to improve processes and workflow. • Act as a resource to members, providers, and community partners. • Communicate verbally and in writing, including presentations as required. • Maintain effective relationships with staff, providers, departments, and programs. • Initiate and follow through on projects and manage or lead multiple projects simultaneously. • Liaise between management and the team to ensure newly assigned cases are addressed timely. • Review program performance reports, identify reporting opportunities and gaps, and support effective SNP program delivery. • Participate in SNP quality audits, including CMS program audits and vendor audits. • Report audit results and identify process improvements. • Keep Care Management leadership informed about departmental operations, activities, data, performance, issues, compliance, and goals. • Review reporting to assign time-sensitive tasks to Care Coordinators. • Mentor, train, audit, coach, and manage non-clinical Care Coordinator staff for policy and regulatory compliance. • Direct administrative work, including maintaining member records, mailing or faxing correspondence, and opening cases and tasks in the Care Management platform. • Assist with Case Management team coverage plans. • Maintain confidentiality of information among healthcare professionals. • Recruit, select, orient, train, assign workload, monitor, appraise, coach, counsel, and discipline employees. • Perform other duties as assigned by the CM Supervisor, Manager, or Director.

🎯 Requirements

• 3+ years Care Coordination experience; or any combination of education and experience, which would provide an equivalent background. • 1+ years supervisory/lead experience in a health care setting or any combination of education and experience, which would provide an equivalent background. • High school diploma or general education degree (GED); with one to three months related experience and/or training; or equivalent combination of education and experience. • No licensure required. • Ability to analyze data for trends. • Knowledge of Managed Care Plans and medical terminology. • Computer skills, 25 WPM, including Microsoft Outlook, Excel, and Word. • Good oral, written, and telephone skills. • Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions and deal with problems involving a few concrete variables in standardized situations. • Basic computer skills. • Good organizational skills. • Ability to reason and carry out instructions. • Good interpersonal skills. • Read, write and speak English fluently. • Ability to file systematically. • Ability to perform essential functions, including required standing, walking, sitting, hand and finger use, reaching, and lifting/moving up to 10 pounds.

🏖️ Benefits

• Equal Employment Opportunity and Affirmative Action • Reasonable accommodations under the Americans with Disabilities Act (ADA)

Apply Now

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