Case Management Coordinator II

AltaMed Health Services; Montebello (CA); On-site; USD 34,000 - 40,000; Full time

Job summary

AltaMed Health Services in Montebello, CA seeks a staff member to gather information for member populations during assessment, care planning and transitions. You will participate in interdisciplinary care team meetings and perform troubleshooting to resolve complex issues as needed.

The role requires a minimum of a high school diploma, and medical assistant certification is preferred. Experience in a healthcare clinic/call center and in managed care is advantageous.

Qualifications

• High School Diploma or equivalent required.
• Medical assistant Certification preferred.
• Prior authorization knowledge and case management familiarity.
• Experience in a clinic/healthcare call center and managed care environment.

Responsibilities

• Gather information for identified member population during assessment, care planning, and care team meetings.
• Troubleshoot problems and take independent action to resolve complex issues.

Skills

Healthcare call center experience

Prior authorization knowledge

Case management understanding

Interdisciplinary teamwork

Education

High School Diploma or equivalent

Medical assistant Certification preferred

Job description

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.

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

Compensation Disclaimer

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.