Remote Care Coordinator, Transition of Care, Bilingual Spanish

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 reputed company 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 reputed company ample room for reputed company and innovation reputed company 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. The Care Coordinator works in collaboration with the RN Case Manager as part of the interdisciplinary team. The Care Coordinator supports members with closing care gaps and addressing care coordination needs as directed by the RN Case Manager. As part of the Case Management team is responsible for the health care management and coordination of care for members with reputed company and chronic care needs. The Care Coordinator is responsible for CM Coordinator functions for the members enrolled in Case Management. GENERAL DUTIES/RESPONSIBILITIES: 1. Reaches out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, reputed company provider appointments and follow reputed company, etc 2. Creates cases, tasks, and completes documentation in the Case Management module for reputed company Hospital and SNF discharges 3. Complies with tasks assigned by reputed company and, as appropriate and documents accordingly 4. Works as reputed company with the Case Manager to engage and manage a panel of members 5. Manages new alerts and updates Case Manager of changes in condition, admission, discharge, or new diagnosis 6. Establishes relationships with members, earns their trust and acts as patient reputed company 7. Escalates concerns to reputed company if members reputed company to be non-compliant or there appears to be a change in condition 8. Assists with reputed company activities to members in reputed company reputed company of Case Management Programs 9. Assists with maintaining and updating member’s records 10. Assists with mailing or faxing correspondence to members, PCP’s, and/or Specialists 11. Requests and uploads medical records from PCP’s, Specialists, Hospitals, etc., as needed 12. Meets specific deadlines (responds to various workloads by assigning task priorities according to department policies, standards and needs) 13. Maintains confidentiality of information between and among health care professionals 14. Other duties as assigned by 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, reputed company, MSO. Minimum 1 year experience assisting members/patients with authorizations, scheduling appointments, identification of resources, etc. • Preferred: Education: • Required: High School Diploma or GED. Bachelor's degree or four years additional experience in lieu of education. • Preferred: MBA Training: • Required: • Preferred: Medical Assistant training, Medical Terminology training. reputed company Skills: • Required: • Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Communicates effectively using good customer relations skills. • Ability 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 ability to work in a fast-paced environment. • Knowledge of Managed Care Plans • Knowledge of Medi-Cal • Basic Computer Skills, 25 WPM (reputed company reputed company, reputed company, word) • Mathematical Skills: Ability to add and subtract two digit numbers and to multiply and divide with 10’s and 100’s. Ability to reputed company these operations using reputed company of reputed company reputed company and weight measurement, volume, and distance. • Reasoning Skills: Ability to apply common reputed company understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. • Preferred: Bilingual (English/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 reputed company reputed company. 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. 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. 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. 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 reputed company reputed company. Pay reputed company: $41,472.00 - $62,208.00 Pay reputed company may be based on a number of factors including market location, education, responsibilities, experience, etc. reputed company is an Equal Opportunity/Affirmative reputed company Employer. reputed company reputed company applicants will receive consideration for employment without reputed company 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 reputed company where individuals receive fraudulent employment-reputed company offers in exchange for reputed company or other sensitive personal information. Please be advised that reputed company and its subsidiaries will never ask you for a credit reputed company, send you a reputed company, or ask you for any type of payment as part of consideration for employment with reputed 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 reputed company by or on behalf of reputed company’s reputed company, please email careers@ahcusa.com. Apply tot his job Apply To this Job