Bilingual Care Coordinator, Transition of Care (Remote, Mon-Fri, 8am-5pm Pacific Required)

GENERAL DUTIES / RESPONSIBILITIES

• Create cases, tasks, and complete documentation in the Case Management module for all Hospital and SNF discharges
• Reach out to members telephonically to assist with referrals, authorizations, home health care (HHC), durable medical equipment (DME), medication refills, and scheduling provider appointments and follow-ups
• Request and upload medical records from PCPs, specialists, hospitals, and other providers, including discharge summaries
• Work as a team with the RN Case Manager to engage and manage a panel of members
• Manage new alerts and update the Case Manager of changes in condition, admission, discharge, or new diagnoses
• Complete and document tasks assigned by nurse
• Earn the trust of members and act as a patient advocate
• Escalate concerns to nurse if members appear to be non-compliant or there is a change in condition
• Absorb and assist with outreach activities to members across all levels of case management programs
• Absorb and assist with maintaining and updating member records
• Absorb and assist with mailing or faxing correspondence to members, primary care physicians (PCPs), and/or specialists
• Maintain confidentiality of information between and among healthcare professionals
• Meet specific deadlines by prioritizing tasks according to department policies, standards, and business needs
• Other duties as assigned by case management leadership

Job Requirements

• Minimum 1 year of experience in care coordination, case management, or transitions of care within a health plan, IPA, MSO, or medical office setting
• Experience supporting members/patients with scheduling, authorizations, referrals, and coordination of services (e.g., home health, DME, follow-up care)
• Experience interacting directly with patients/members in a telephonic or care coordination setting

Preferred

• Experience supporting hospital or SNF discharges, including requesting and reviewing discharge summaries

Education

• Required: High School Diploma or GED and / or (4) years' relevant experience in lieu of education
• PREFERRED: Bachelor's degree

Training

• Required: Preferred: Medical assistant training, Medical terminology training

Essential Physical Functions

• Regularly required to talk or hear
• Regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms
• Frequently lifts and/or moves up to 10 pounds

Pay Range

$41,472.00 - $62,208.00