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.

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.