[Hiring] Bilingual Care Coordinator, Outpatient Case Management @Alignment Health

Role Description

Alignment Health is seeking a compassionate, customer service oriented, and organized care coordinator (bilingual Spanish highly preferred) 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.

Schedule: Monday - Friday, 8:00 AM - 5:00 PM Pacific Time

Location: Fully Remote

Qualifications

• 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.
• Required: High School Diploma or GED
• Preferred: Bachelor's degree or four years additional experience in lieu of education
• Preferred: Medical assistant training, medical terminology training
• Preferred: Bilingual English and Spanish

Requirements

• 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

Benefits

• Pay Range: $41,472.00 - $62,208.00
• Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.