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

Job Overview Alignment Health is seeking a compassionate, customer‑service oriented, and organized Care Coordinator to join the remote outpatient case management team. The Remote Care Coordinator will work alongside the RN case manager and interdisciplinary care team to support members with complex and chronic health needs. Schedule: Monday - Friday, 8:00 AM - 5:00 PM Pacific Time. Location: Fully Remote. Responsibilities 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. Qualifications Experience (Required) : Minimum 1 year working in health care such as health plan, medical office, Independent Practice Association (IPA), Management Services Organization. Experience (Preferred) : Minimum 1 year assisting members / patients with authorizations, scheduling appointments, identification of resources, etc. Education (Required) : High School Diploma or GED. Education (Preferred) : Bachelor's degree or four years additional experience in lieu of education. Training (Required) : 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 (Required) : Effective problem solving, organizational and time management skills and able to work in a fast‑paced environment. Knowledge (Required) : Knowledge of Managed Care Plans, knowledge of Medi‑Cal. Computer Proficiency (Required) : Basic computer proficiency, type a minimum 35 words per minute (WPM), proficient in Microsoft Office suite (Outlook, Excel, Word). Mathematical Skills (Required) : 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 (Required) : 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. Bilingual (Preferred) : English and Spanish. Licensure (Preferred) : Medical assistant certificate, medical terminology certificate. Physical Functions (Required) : Responsible for tasks requiring speaking, hearing, standing, walking, sitting, using hand to finger, handling objects or tools, reaching with hands and arms, frequently lifting and/or moving up to 10 pounds. Specific vision abilities required include close vision and 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. Pay Range $41,472.00 - $62,208.00 Equal Opportunity Employment Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. #J-18808-Ljbffr E2E Alignment Healthcare USA, LLC