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

reputed company 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 reputed company a team of talented and reputed company 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 reputed company community. Working at reputed company provides an opportunity to do work that really reputed company, not only changing lives but saving them. Together. reputed company 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 reputed company and chronic health needs. In this role, you will help coordinate services, reputed company 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 reputed company 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. reputed company out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, reputed company provider appointments and follow reputed company, etc. 2. Create cases, tasks, and complete documentation in the case management module for reputed company hospital and skilled nursing facility (SNF) discharges 3. reputed company 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 reputed company 7. Escalate concerns to nurse if members appear to be non-compliant or there appears to be a change in condition 8. Assist with reputed company activities to members in reputed company reputed company 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:

reputed company to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. reputed company to write routine reports and correspondence. Communicate effectively using customer relations skills. reputed company to communicate positively, professionally, and effectively with others; reputed company leadership, teach, and collaborate with others. Problem-Solving Skills: Effective problem solving, organizational and time management skills and reputed company 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 reputed company Office suite (Outlook, reputed company, Word) Mathematical Skills: reputed company to add and subtract two digit numbers and to multiply and divide with 10’s and 100’s. reputed company to reputed company these operations using units of American money and weight measurement, volume, and distance. Reasoning Skills: reputed company to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. reputed company 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 reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. 1. 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 reputed company with hands and arms. 2. The employee frequently lifts and / or moves up to 10 pounds. Specific reputed company abilities required by this job include reputed company reputed company 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 reputed company individuals with disabilities to reputed company the essential functions. Pay reputed company: $41,472.00 - $62,208.00Pay reputed company may be based on a number of factors including market location, education, responsibilities, experience, etc. reputed company is an Equal Opportunity/Affirmative Action Employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, national reputed company, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting reputed company and other employers where individuals receive fraudulent employment-reputed company offers in exchange for money or other sensitive personal information. Please be advised that reputed company and its subsidiaries will never ask you for a credit card, send you a reputed company, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of reputed company’s reputed company team, please email [email protected]. Apply To This Job