Telephonic Care Coordinator (Bilingual Spanish, Medical Assistant)
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Alignment HealthHealthcare care coordination
United States, Pacific TimeFull-TimeJunior
Salary41,472 - 62,208 USD per year
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Job Details
- Languages
- Bilingual English / Spanish.
- Experience
- Required: Minimum 1 year experience working in Health Care such as Health Plan, Medical office, IPA, MSO.
- Required Skills
- Microsoft Excel
Requirements
- Have at least 1 year of experience working in healthcare, such as a health plan, medical office, IPA, or MSO.
- Have experience conducting frequent or high-volume telephonic outreach to patients or members.
- Have experience interacting directly with patients or members and supporting healthcare scheduling, outreach, or front-office activities.
- Hold a high school diploma or GED.
- Have completed an accredited Medical Assistant program.
- Be bilingual in English and Spanish.
- Be proficient with Microsoft Outlook, Excel, and Word, and type at least 35 WPM.
- Be able and willing to spend most of the workday conducting outbound telephonic member outreach.
- Be able to complete time-sensitive outreach and follow established outreach and documentation requirements.
- Be available Monday through Friday for one of the listed schedules in Pacific Time, regardless of local time zone.
- Preferred experience includes transitions of care, post-discharge outreach, hospital or SNF discharge follow-up, care management, or population health outreach.
- Preferred experience includes requesting medical records and assisting with authorizations, referrals, appointment scheduling, resource identification, or related care coordination.
Responsibilities
- Conduct high-volume outbound outreach to members following hospital and skilled nursing facility discharges.
- Complete time-sensitive outreach attempts and follow-up activities according to established protocols.
- Help members schedule timely follow-up appointments with Care Anywhere providers and other appropriate healthcare resources.
- Use established scripts and questionnaires to gather and accurately record member information.
- Document outreach, outcomes, and follow-up activities, and create cases and tasks in the Case Management module.
- Coordinate referrals, authorizations, home health care, durable medical equipment, medication refills, appointments, and other care needs.
- Request and upload medical records from hospitals, skilled nursing facilities, primary care providers, specialists, and other healthcare providers.
- Escalate changes in condition, admissions, discharges, new diagnoses, and other clinical concerns to the appropriate clinical team member.
- Work with clinical and care management staff to engage and manage assigned members.
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