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Alignment Health
Alignment Health
501 – 1,000 Employees
HealthcareHealthcare InsuranceInsurance
Alignment Health is a healthcare insurance company focused on improving care for Medicare members, particularly seniors, people living with chronic conditions, and those who are frail. Founded in 2013, the company combines a personalized care model with technology and a 24/7 concierge care team to coordinate support with trusted local providers. Its work spans healthcare delivery and insurance, with a focus on making care more accessible, responsive, and cost-conscious for its members. Alignment Health hires across a growing healthcare organization serving the needs of Medicare communities.
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Remote Bilingual Spanish Care Coordinator – Transition of Care

Remote Care Coordinator supporting Alignment Health members with referrals, authorizations, discharges, medications, appointments, and follow-up care. Partners with RN Case Managers across chronic-care programs and advocates for members throughout care transitions.

USUnited States
$41,472 – $62,208 / year
RemoteFull-timeJuniorNo degree requiredEnglish RequiredSpanish RequiredBilingual

Description

  • Contact members by phone to support referrals, authorizations, home health care, durable medical equipment, medication refills, provider appointments, and follow-up needs.
  • Create cases and tasks and complete Case Management module assessments for hospital and skilled nursing facility discharges.
  • Complete and document tasks assigned by the nurse.
  • Partner with the Case Manager to engage and manage a panel of SNP members.
  • Monitor new alerts and report changes in condition, admissions, discharges, or diagnoses to the Case Manager.
  • Build trusting member relationships and serve as a patient advocate.
  • Escalate non-compliance concerns and changes in condition to the nurse.
  • Support outreach activities across all levels of Case Management Programs.
  • Keep member records accurate and current.
  • Mail or fax correspondence to members, primary care providers, and specialists.
  • Request and upload medical records from primary care providers, specialists, hospitals, and other providers.
  • Attend Interdisciplinary Team Meetings and contribute to member presentations when appropriate.
  • Meet deadlines and prioritize work according to department policies, standards, and operational needs.
  • Protect confidential information shared among health care professionals.
  • Perform additional duties assigned by the CM Supervisor, Manager, or Director of Care Management.

Requirements

  • At least one year of experience working in health care IPAs.
  • At least one year of experience entering referrals and prior authorizations.
  • High school diploma or GED; a bachelor’s degree or four additional years of experience may substitute for the education requirement.
  • Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals.
  • Ability to prepare routine reports and correspondence.
  • Strong customer service and communication skills.
  • Ability to communicate positively, professionally, and effectively while providing leadership, teaching, and collaboration.
  • Strong problem-solving, organizational, and time-management skills.
  • Ability to work effectively in a fast-paced environment.
  • Knowledge of managed care plans.
  • Knowledge of Medi-Cal.
  • Basic computer proficiency and typing speed of 25 words per minute.
  • Proficiency with Microsoft Outlook, Excel, and Word.
  • Basic mathematical and reasoning skills.
  • Bilingual proficiency in English and Spanish.

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