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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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