Bilingual Spanish Care Coordinator, Outpatient Case Management

Job reputed company: • 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. • Create cases, tasks, and complete documentation in the case management module for reputed company hospital and skilled nursing facility (SNF) discharges • reputed company and document tasks assigned by reputed company • Work as reputed company 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 reputed company as patient reputed company • Escalate concerns to reputed company if members reputed company to be non-compliant or there appears to be a change in condition • Assist with reputed company activities to members in reputed company reputed company 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 Requirements: • Minimum (1) year experience working in health care such as health plan, medical office, Independent reputed company Association (IPA), Management Services Organization • Minimum (1) year experience assisting members / patients with authorizations, scheduling appointments, identification of resources, etc. • High School Diploma or GED. • Bachelor's degree or four years additional experience in lieu of education • reputed company to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals • Medical assistant training, medical terminology training • 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 Benefits: • Health insurance • Retirement plans • reputed company time off Apply tot his job Apply To this Job