Bilingual Care Coordinator, Outpatient Case Management (Remote, Mon-Fri, 8am-5pm Pacific Required)

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.

Alignment Health is seeking an 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.

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
Location: Fully Remote

GENERAL DUTIES / RESPONSIBILITIES:
1.    Reach out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, make provider appointments and follow ups, etc.
2.    Create cases, tasks, and complete documentation in the case management module for all hospital and skilled nursing facility (SNF) discharges
3.    Comply and document tasks assigned by nurse
4.    Work as a team, in this fully remote role, with the case manager to engage and manage a panel of members
5.    Manage new alerts and update case manager on changes in condition, admission, discharge, or new diagnosis
6.    Establish relationships with members, earn their trust and act as patient advocate
7.    Escalate concerns to nurse if members appear to be non-compliant or there appears to be a change in condition
8.    Assist with outreach activities to members in all levels of case management programs
9.    Assist with maintaining and updating members' records
10.    Assist with mailing or faxing correspondence to members, primary care physicians (PCP), and / or Specialists 
11.    Request and upload medical records from PCP’s, specialists, hospitals, etc.
12.    Meet specific deadlines (respond to various workloads by assigning task priorities according to department policies, standards, and needs)
13.    Maintain confidentiality of information between and among health care professionals
14.    Other duties as assigned by case manager (CM) supervisor, manager or director of care management.

Job Requirements:

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 an