Care Coordinator

Alignment Healthcare - Orange, CA

Full-time - Entry Level

Remote - Orange, CA

Professional, Scientific, and Technical Services

About the position

The Care Coordinator at Alignment Healthcare plays a crucial role in managing care for seniors by performing various administrative and coordination tasks. This position focuses on ensuring seamless communication between healthcare providers and patients, facilitating medical record management, and supporting the nursing team in delivering high-quality care. The role is fully remote and emphasizes a culture of continuous learning and employee engagement.

Responsibilities

• Review Daily Census for new Admissions
• Obtain medical records from Provider offices, hospitals, and SNFs
• Attach medical records to authorizations
• Enter referral requests/authorizations in the system
• Monitor Fax Folders
• Monitor task lists in EHR
• Create cases and tasks in Case Management module for Hospital and SNF discharges
• Post discharge scheduling of appointments
• Follow up scheduling and re-scheduling of no-show appointments
• Assist NP team with visit preparation needs
• Send appointment reminders to members
• Assign members to NP in EHR
• Enter all medications and allergies in EHR
• Provide needed documentation to NP for visits each day
• Direct inbound calls from members/family related to medication refills
• Assist in Hospice Enrollments
• Comply with tasks assigned by nurse and document accordingly
• Maintain documentation on members contacted
• Assist with COC's
• Notify NP/nurse if members appear to be non-compliant or there appears to be a change in condition
• Assist with outreach activities to members in all levels of Case Management Programs
• Maintain and update member's records
• Assist with mailing or faxing correspondence to PCP's, Specialists, as needed
• Assist with mailing correspondence to members related to CCIP activities, as needed
• Attend Case Management presentations and participate as appropriate
• Recognize work-related problems and contribute to solutions
• Meet specific deadlines by assigning task priorities according to department policies, standards, and needs
• Work with outside vendors to provide appropriate care needs for members
• Maintain confidentiality of information between and among health care professionals
• Cover for other team members when needed (i.e. PTO, sick time)

Requirements

• Minimum 1 year front office medical assistant or related experience
• Experience entering referrals and prior authorizations (highly preferred)
• High school diploma or GED
• Knowledge of medical terminology
• Knowledge of ICD9 and CPT codes
• Knowledge of Managed Care Plans
• Computer proficient
• Able to type a minimum of 40 words per minute (WPM)
• Proficient in Microsoft Office (Outlook, Excel, Word)
• Bilingual in English and either Spanish or Vietnamese required
• Good written, verbal, and telephonic communication skills

Nice-to-haves

• Medical Terminology Certificate preferred
• Knowledge working in Access Express/Portal, Epic, Essette (not required)

Benefits

• Paid time off