[Hiring] Bilingual Care Coordinator, Transition of Care @Alignment Health

Role Description Alignment Health is seeking a care coordinator to join the transitions of care case management team. As a care coordinator, you partner closely with an RN case manager to support members through transitions of care, helping ensure they receive timely, coordinated services following hospital or SNF discharge.

• Create cases, tasks, and complete documentation in the Case Management module for all Hospital and SNF discharges.
• Reach out to members telephonically to assist with referrals, authorizations, home health care (HHC), durable medical equipment (DME), medication refills, and scheduling provider appointments and follow-ups.
• Request and upload medical records from PCPs, specialists, hospitals, and other providers, including discharge summaries.
• Work as a team with the RN Case Manager to engage and manage a panel of members.
• Manage new alerts and update the Case Manager of changes in condition, admission, discharge, or new diagnoses.
• Complete and document tasks assigned by nurse.
• Establish relationships with members, earn their trust, and act as a patient advocate.
• Escalate concerns to nurse if members appear to be non-compliant or there is a change in condition.
• Assist with outreach activities to members across all levels of case management programs.
• Assist with maintaining and updating member records.
• Assist with mailing or faxing correspondence to members, primary care physicians (PCPs), and/or specialists.
• Meet specific deadlines by prioritizing tasks according to department policies, standards, and business needs.
• Maintain confidentiality of information between and among healthcare professionals.
• Other duties as assigned by case management leadership.

Qualifications

• Minimum 1 year of experience in care coordination, case management, or transitions of care within a health plan, IPA, MSO, or medical office setting.
• Experience supporting members/patients with scheduling, authorizations, referrals, and coordination of services (e.g., home health, DME, follow-up care).
• Experience interacting directly with patients/members in a telephonic or care coordination setting.
• Bilingual English and Spanish.

Requirements

• High School Diploma or GED and/or (4) years' relevant experience in lieu of education.
• Preferred: Bachelor's degree.
• Preferred: Medical assistant training, Medical terminology training.
• Proficient Computer Skills, Able to type 35 WPM by 10-key touch (Microsoft Outlook, Excel, Word).
• Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.
• Effective problem solving, organizational and time management skills.
• Knowledge of Managed Care Plans and Medi-Cal.

Benefits

• Fully Remote (must be based in California or Pacific Time Zone).
• Schedule: Monday - Friday, 8:00 AM - 5:00 PM Pacific Time (flexible start between 7:30 AM – 8:30 AM). No overtime required.
• Pay Range: $41,472.00 - $62,208.00 based on various factors including market location, education, responsibilities, experience, etc.

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