Remote Bilingual Care Navigator

Alignment Healthcare USA, LLC; Orange (CA); Remote; USD 41,000 - 62,000; Full time

Job summary

Alignment Health is seeking a remote Care Coordinator to support its Special Needs Program (SNP) case management team. This role helps members with complex health needs by collaborating with the RN Case Manager and interdisciplinary care team.

You will conduct outreach, coordinate referrals and prior authorizations, monitor hospital/SNF discharges, and maintain accurate member records while ensuring confidentiality in a fast-paced remote environment.

Qualifications

• Bilingual in Spanish or Vietnamese is required.
• Minimum 1 year of experience in a healthcare IPA setting.
• Minimum 1 year of experience with referrals and prior authorizations.
• High school diploma or GED is required; Bachelor’s degree preferred or 4 years of experience in lieu of degree.
• Basic computer skills: Outlook, Word, Excel; typing 25+ WPM.

Responsibilities

• Conduct outreach to members to support referrals, authorizations, medication refills, provider appointments, and other care needs.
• Complete tasks and assessments in the Case Management system for hospital and SNF discharges.
• Collaborate with RN Case Managers to manage a panel of SNP members.
• Monitor alerts for changes in condition, admissions, discharges, and diagnoses; communicate updates.
• Maintain confidentiality and meet all departmental deadlines.

Skills

Bilingual Spanish or Vietnamese

Communication skills

Typing 25+ WPM

MS Outlook/Word/Excel

Organizational & time management

Education

High school diploma or GED

Bachelor’s degree preferred or 4 years experience in lieu

Tools

Case Management System

Job description

Alignment Health is seeking a remote Care Coordinator to support its Special Needs Program (SNP) case management team. This role helps members with complex health needs by collaborating with the RN Case Manager and interdisciplinary care team.

You will conduct outreach, coordinate referrals and prior authorizations, monitor hospital/SNF discharges, and maintain accurate member records while ensuring confidentiality in a fast-paced remote environment.