Case Management Coordinator II

AltaMed Health Services Corp; Montebello (CA); Presencial; USD 34.000 - 40.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical insurance

Dental insurance

Vision insurance

401(k) employer matching

Flexible Spending Accounts

Career development opportunities

Paid Time Off

Paid CME Days

Malpractice tail coverage

Tuition reimbursement

Employee discounts

Referral bonus

Descripción de la vacante

AltaMed Health Services Corp. is seeking a skilled healthcare coordinator to gather member information during assessment, care planning, and care-team meetings, and to manage transitions of care. The role requires independent troubleshooting and strong knowledge of Medi-Cal, Medicare, and other programs.

Fluency in serving diverse populations is valued. Minimum 3 years in healthcare and a high school diploma are required; medical assistant certification is preferred.

Formación

• High School Diploma or equivalent is required.
• Medical assistant Certification preferred.
• Minimum 3 years of experience in a healthcare environment.
• Knowledge of prior authorization and case management regulations (Medi-Cal, Commercial, Medicare, CCS).
• Experience in a managed health care environment (IPA/HMO/Health Plan) preferred.
• Experience working with ethnically diverse populations preferred.

Responsabilidades

• Gather information during assessment, care planning, interdisciplinary care team meetings, and transitions of care.
• Troubleshoot problems and take independent action to resolve complex issues.

Conocimientos

Healthcare experience

Call center experience

Prior authorization knowledge

Managed care understanding

Educación

High School Diploma or equivalent

Medical assistant Certification preferred

Descripción del empleo

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day.

Job Overview

This position has primary responsibility for gathering relevant information for the identified member population during assessment, care planning, interdisciplinary care team meetings, and transitions of care. This position performs troubleshooting when problem situations arise and takes independent action to resolve complex issues.

Minimum Requirements

• High School Diploma or equivalent required.
• Medical assistant Certification preferred.
• Prior experience working in a clinic/health care call center.
• Minimum 3 years of 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.
• Experience in a managed health care environment, preferably IPA, HMO, or Health Plan, preferred.
• Experience working with an ethnically diverse population, preferred.

Compensation

$25.00 - $29.32 hourly

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

As the nation's largest Federally Qualified Health Center (FQHC), AltaMed is at the forefront of providing affordable, high-quality health care to underserved communities in Los Angeles and Orange Counties. At AltaMed, you will have the opportunity to work with a diverse team of dedicated professionals who are passionate about making a difference and supporting our community of over 400,000 patients.

AltaMed Health Services Corporation is committed to providing equal employment opportunities for all qualified individuals.

We strictly prohibit discrimination in employment based on race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin, age, medical condition, physical or mental disability, military or protected veteran status, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical conditions, genetic information, or any other characteristic protected by local, state, or federal law, ordinance, or regulation.

We are committed to promoting equality and inclusivity beyond our recruitment and hiring processes. We aim to create a respectful, valued, and inclusive workplace through training, advancement opportunities, and access to resources and support.

We focus on fostering a diverse workforce because it enriches our organization and improves our ability to effectively serve our clients and community.

We encourage individuals from all backgrounds to apply and join us in our mission to create a positive impact.