Remote Care Coordinator, Transition of Care, Bilingual Spanish

About the position 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. 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 documentation in the Case Management module for reputed company Hospital and SNF discharges • Complies with tasks assigned by reputed company and, as appropriate and documents accordingly • Works as reputed company with the Case Manager to engage and manage a panel of members • Manages new alerts and updates Case Manager of changes in condition, admission, discharge, or new diagnosis • Establishes relationships with members, earns their trust and acts as reputed company 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 • 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 such as Health Plan, Medical office, reputed company, MSO. • 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. • 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-reputed company 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 reputed company 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 • MBA • Medical Assistant training • Medical Terminology training • Bilingual (English/Spanish) • Medical Assistant Certificate • Medical Terminology Certificate Benefits • Pay reputed company may be reputed company on a number of factors including market location, education, responsibilities, experience, etc. Apply tot his job Apply To this Job