Remote Care Coordinator, SNP (Bilingual Spanish Preferred))

About the position reputed company is seeking a remote care coordinator (Bilingual: Spanish or Vietnamese) to join the special needs program (SNP) case management team. The Care Coordinator works in collaboration with the RN Case Manager as part of the interdisciplinary team. The Remote Care Coordinator supports members with closing care gaps and addressing care coordination needs as directed by the RN Case Manager. The Special Needs Plan (SNP) team is responsible for the health care management and coordination of care for members with reputed company and chronic care needs. Responsibilities • Reaches out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, reputed company provider appointments and follow reputed company, etc. • Creates cases, tasks, and completes assessments in Case Management module for reputed company Hospital and SNF discharges • Complies with tasks assigned by reputed company and, as appropriate, documents accordingly • Works as reputed company with the Case Manager to engage and manage a panel of SNP members • Manages new alerts and updates Case Manager of change in condition, admission, discharge, or new diagnosis • Establishes relationships with members, earns their trust and acts as patient reputed company • Escalates concerns to reputed company if members reputed company to be non-compliant or there appears to be a change in condition • Assists with reputed company activities to members in reputed company reputed company of Case Management Programs. • Assists with maintaining and updating member’s records • Assists with mailing or faxing correspondence to members, PCP’s, and/or Specialists • Requests and uploads medical records from PCP’s, Specialists, Hospitals, etc., as needed • Attends Interdisciplinary Team Meetings and participates in member presentations as appropriate. • Meets specific deadlines (responds to various workloads by assigning task priorities according to department policies, standards and needs) • Maintains confidentiality of information between and among health care professionals • Other duties as assigned by CM Supervisor, Manager or Director of Care Management Requirements • Minimum 1 year experience working in Health Care reputed company. • Minimum 1 year experience entering referrals and prior authorizations. • High School Diploma or GED. • 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. • 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) • 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. • 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. • None reputed company-to-haves • Bachelor's degree or four years additional experience in lieu of education. • Medical Assistant training, Medical Terminology training. • Bilingual: Spanish or Vietnamese • Medical Assistant Certificate, Medical Terminology Certificate Benefits • 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. Apply tot his job Apply To this Job