Alignment Health
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
Job Location: Fully Remote, working PST hours. Alignment Health is seeking an compassionate, customer service oriented, and organized, bilingual Spanish care coordinator to join the remote outpatient case management team. The Remote Care Coordinator works alongside the RN case manager and interdisciplinary care team to support members with complex and chronic health needs. In this role, you will help coordinate services, close care gaps, and ensure members receive timely, appropriate care. You’ll play an important role in supporting members enrolled in case management by assisting with care coordination activities, scheduling and service coordination, and helping members navigate their care plan and available resources. If you are hungry to learn and grow, want to be part of a growing organization, and make a positive impact in the lives of seniors – we’re looking for you! Schedule: Monday - Friday, 8:00 AM - 5:00 PM Pacific Time
Experience Required: 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. Preferred Education Required: High School Diploma or GED. Preferred: Bachelor's degree or four years additional experience in lieu of education. Training Required Preferred: Medical assistant training, medical terminology training. Specialized Skills Required: Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Able to write routine reports and correspondence. Communicate effectively using customer relations skills. Able to communicate positively, professionally, and effectively with others; provide leadership, teach, and collaborate with others. Problem-Solving Skills: 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, type a minimum 35 words per minute (WPM), proficient in Microsoft Office suite (Outlook, Excel, Word) Mathematical Skills: Able to add and subtract two digit numbers and to multiply and divide with 10’s and 100’s. Able to perform these operations using units of American money and weight measurement, volume, and distance. Reasoning Skills: Able to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Able to deal with problems involving a few concrete variables in standardized situations. Preferred: Bilingual English and Spanish Licensure Required: None Preferred: Medical assistant certificate, medical terminology certificate Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and / or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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.
Basic
Telehealth
$34
Resume Template Package
ATS optimized design for nurses
Matching Cover Letter
Matching Reference Page
Resume Tips and Tricks
ADVANCED
Telehealth
$79
Everything from Starter Pack
Resume Optimization Guide
7 Nurse Resume Examples
20+ Professional Summary Examples
How to Structure Unique Career Experiences
BEST VALUE
Telehealth
$149
Everything from Starter Pack
Everything from Pro Toolkit
Career Accelerator Success Guide
Proven method for landing your dream role
Lifetime Premium Job Board Access
Application Tracker
1:1 Expert Support