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Alignment Health
Alignment Health
501 – 1 000 Xodimlar
Sog‘liqni saqlashSug‘urtaTibbiy sug‘urta
Alignment Health Medicare a’zolariga, ayniqsa keksalar, surunkali kasalliklar bilan yashayotganlar va nimjon insonlarga tibbiy yordamni yaxshilashga e’tibor qaratadigan tibbiy sug‘urta kompaniyasidir. 2013-yilda tashkil etilgan kompaniya shaxsiylashtirilgan parvarish modelini texnologiya va ishonchli mahalliy xizmat ko‘rsatuvchilar bilan yordamni muvofiqlashtiradigan 24/7 maslahat jamoasi bilan birlashtiradi. Uning faoliyati tibbiy xizmat ko‘rsatish va sug‘urta sohalarini qamrab oladi hamda a’zolari uchun yordamni yanada qulay, tezkor va xarajatlarni hisobga oladigan qilishga qaratilgan. Alignment Health Medicare hamjamiyatlari ehtiyojlariga xizmat ko‘rsatuvchi, rivojlanib borayotgan sog‘liqni saqlash tashkilotining turli yo‘nalishlariga xodimlar yollaydi.
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Kompaniyadagi ish o‘rinlari

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.

USAmerika Qo‘shma Shtatlari
41 472 $ – 62 208 $ / yil
MasofaviyTo‘liq stavkaJuniorDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaTalab Qilinadigan Til: ispanchaIkki tilli

Tavsif

  • 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.

Talablar

  • 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.

O‘xshash ish o‘rinlari

Qwello

Junior Account Manager – Qwello, Hybrid in Amersfoort

Qwello
11 – 50 Xodimlar
AvtomobilsozlikIshlab chiqarishTransport
NLNiderlandiyaGibridTo‘liq stavkaJuniorDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaTalab Qilinadigan Til: niderlandMijozlar bilan ishlash menejeriSotuv

Support Qwello’s municipal accounts and help coordinate proposals, tenders and public EV charging projects. Work with the sales team and project delivery colleagues in a hybrid role based in Amersfoort.

Ochish