Case Management Coordinator II
Location :
Los Angeles, CA
Job Type :
Temp/Contract
Required Years of Experience :
2 years
Required Education :
High school diploma or GED
Job Industry :
Healthcare - Health Services
Job Description :
Case Management Coordinator II
Location: Los Angeles, CA
Schedule: Full Time / Hours between 8am & 4:30pm.
Pay: $23 - $ 26/hour - Depending on Experience
Job Type: Temporary Assignment
Job Summary:
This position will provide support to Case Management Department and assist with case and care management. Acts as a liaison for case managers to assist with obtaining the HRA (Health Risk Assessments), gathering of pertinent healthcare information, and follow-up on specialty/ancillary services.
Key Responsibilities:
- generate/manage the daily census, post discharge calls, and facilitate transitions of care.
- Responsible for processing and tracking referrals including interdepartmental referrals to AltaMed Senior Programs.
- Serves as an associate and resource to patients, providers, staff, and external customers regarding policies, benefits, and care coordination. Participates in and provides report data as required.
Work Environment:
- Exposure to medical clinic setting.
- Low risk contamination when adhering to Universal Precautions.
- May be required to drive a car to attend meetings and other related functions
Required Skills and Abilities:
- Ability to sit, stand, stoop, reach, lift (up to 10 pounds), bend, etc. hand and wrist dexterity to utilize computer/ and telephones.
- May require travel to sites/programs and special functions.
- Knowledge of the health care industry, preferably managed care.
- Demonstrates excellent communications skills and interpersonal relationships.
- Ability to collaborate and facilitate interdisciplinary team communications.
- Demonstrate flexibility and ability to manage multiple complex situations
- Strong computer literacy skills with Microsoft Office applications, authorization systems and spreadsheets.
- Knowledge of HIPAA Guidelines including the PHI privacy requirements.
Required Qualifications :
Specifications:
1. High School diploma plus a minimum 2 years experience working in a healthcare environment; knowledge of prior authorization and case management regulations governing Medi-Cal, Commercial, Medicare, CCS, and other government and commercial programs.
2. Minimum 2 years experience in a managed health care environment, preferably IPA, HMO, or Health Plan.
3. Bilingual English/Spanish preferred.
4. Medical Billing Certification preferred.
5. Medical Assistant experience strongly preferred.
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