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Alignment Health
Alignment Health
501 – 1.000 Angajați
Asigurare de sănătateAsigurăriAsistență medicală
Alignment Health este o companie de asigurări de sănătate axată pe îmbunătățirea îngrijirii pentru membrii Medicare, în special pentru vârstnici, persoane care trăiesc cu afecțiuni cronice și persoane fragile. Fondată în 2013, compania combină un model de îngrijire personalizat cu tehnologia și o echipă de îngrijire concierge disponibilă 24 de ore din 24, 7 zile din 7, pentru a coordona sprijinul împreună cu furnizori locali de încredere. Activitatea sa acoperă furnizarea de servicii medicale și asigurările, cu accent pe o îngrijire mai accesibilă, mai promptă și mai atentă la costuri pentru membrii săi. Alignment Health face angajări în cadrul unei organizații de sănătate aflate în creștere, care răspunde nevoilor comunităților Medicare.
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Locurile de muncă ale companiei

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.

USStatele Unite ale Americii
41.472 $ – 62.208 $ / an
RemoteNormă întreagăJuniorNu este necesară o diplomăLimbă Obligatorie: englezăLimbă Obligatorie: spaniolăBilingv

Descriere

  • 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.

Cerințe

  • 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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