Case Management Navigator II: Healthcare Care Coordination

AltaMed Health Services Corp; Montebello (CA); Sur place; USD 34 000 - 40 000; Plein temps

Avantages offerts par ce poste

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

Résumé du poste

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.

Qualifications

• 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.

Responsabilités

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

Connaissances

Healthcare experience

Call center experience

Prior authorization knowledge

Managed care understanding

Formation

High School Diploma or equivalent

Medical assistant Certification preferred

Description du poste

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.