Care Coordination Specialist

Los Angeles Jewish Health; California, Los Angeles (MO, CA); On-site; USD 40,000 - 80,000; Full time

Job summary

An established industry player in senior healthcare seeks a dedicated Care Coordination Specialist to enhance patient care. This role involves coordinating care across providers, assisting patients in navigating healthcare systems, and ensuring adherence to treatment plans. Join a compassionate team committed to improving the lives of seniors through exceptional care and support. With a focus on teamwork and professional growth, this opportunity offers a chance to make a meaningful impact in the community. If you have a passion for patient advocacy and a background in healthcare coordination, we encourage you to apply and help shape the future of senior care.

Benefits

Health insurance

Dental insurance

Vision insurance

Paid Time Off

403(b) Retirement Plan

Company-paid Life Insurance

Paid Holidays

Qualifications

• 2+ years of experience in care coordination and healthcare administration.
• Strong understanding of CPT codes, ICD-10 codes, and prior authorizations.

Responsibilities

• Coordinate patient care across multiple healthcare providers and ensure continuity.
• Assist residents in navigating the healthcare delivery system effectively.

Skills

Clinical background (LVN)

Healthcare coordination

Patient navigation

Communication skills

Problem-solving skills

Organizational skills

Knowledge of medical terminology

Understanding of HIPAA regulations

Education

Licensed Vocational Nurse (LVN)

Certified Case Manager (CCM)

Certified Professional in Healthcare Quality (CPHQ)

Tools

Electronic Health Records (EHR)

Job description

We truly value our employees and are committed to their success! We offer long-term employment opportunities with job stability, as well as support and encouragement for career growth and advancement. Our comprehensive benefits package includes Health, Dental, and Vision insurance, Paid Time Off, 9 Paid Holidays, a 403(b) Retirement Plan with company matching, and company-paid Life Insurance. Join our team and experience a workplace culture that fosters teamwork, growth, and support!

Los Angeles Jewish Health has been a trusted provider of senior healthcare for over 100 years, offering a wide range of services that prioritize excellence and Jewish values. We serve more than 4,000 seniors across our San Fernando Valley campuses, delivering personalized care tailored to each individual’s needs, from independent living to specialized healthcare programs.

The responsibilities of the Care Coordination Specialist include, but are not limited to:

Responsibilities:

• Coordinate and manage patient care across multiple healthcare providers, health plans and managed healthcare organizations, ensuring timely follow-ups and continuity of care.
• Assist residents in navigating a comprehensive healthcare delivery system under LAJH.
• Verify insurance eligibility, obtain prior authorizations, and facilitate referrals to specialists or external healthcare services.
• Review patient records, track progress, and ensure adherence to treatment plans.
• Communicate effectively with patients, families, healthcare teams, and insurance providers to ensure efficient care delivery.
• Assist in discharge planning and transitions of care, ensuring patients receive necessary post-care services.
• Maintain accurate and up-to-date documentation in electronic health records (EHR) and/or other software systems.
• Identify gaps in care and collaborate with multi-disciplinary teams to improve patient outcomes.
• Track patient progress, maintain accurate documentation, and ensure compliance with healthcare regulations.

Experience and Skills:

• Clinical background (LVN) and experience in healthcare coordination, case management, or patient navigation.
• 2+ years of experience in care coordination, case management, patient advocacy, or healthcare administration is preferred.
• Strong understanding of medical terminology, CPT codes, ICD-10 codes, and prior authorization processes.
• Excellent communication, problem-solving, and organizational skills.
• Proficiency in electronic health records (EHR).
• Prior experience in insurance verification, prior authorizations, and utilization review is highly desirable.
• Experience in rehabilitation, managed care, or skilled nursing settings is a strong advantage.
• Familiarity with managed care plans and programs including Medicare Advantage, managed care Medi-Cal, Dual Eligible Special Needs Plans (D-SNPs) and HMO/PPO plans.
• In-depth knowledge of HIPAA regulations and patient privacy laws.
• Understanding of post-acute care services, rehabilitation processes, and discharge planning.
• Passion for patient advocacy, improving healthcare access, and financial steward of utilization and resources.

Education & Certifications:

• Licensed Vocational Nurse (LVN).
• Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ) is a plus.
• Additional certifications in care coordination, medical billing, or patient navigation are beneficial.
• Bilingual proficiency (e.g., Spanish) is a plus, especially in diverse patient populations.

Join Los Angeles Jewish Health and make a meaningful impact in the lives of seniors in our community. Become part of our compassionate team, dedicated to providing exceptional care and support. Apply today and start making a difference!