Remote Bilingual Care Navigator (Spanish/Vietnamese)

Alignment Health; United States; À distance; USD 41 000 - 62 000; Plein temps

Résumé du poste

Alignment Health is seeking a remote Care Coordinator to support its Special Needs Program (SNP) case management team. This role collaborates with the RN Case Manager to address gaps in care, coordinate referrals and authorizations, and help members navigate services and resources to improve health outcomes.

The ideal candidate has at least 1 year of healthcare IPA experience, 1 year with referrals and prior authorizations, is bilingual in Spanish or Vietnamese, and holds a high school diploma

Qualifications

• Minimum 1 year of experience in a healthcare IPA setting.
• Minimum 1 year of experience with referrals and prior authorizations.
• Bilingual in Spanish or Vietnamese (required).
• High school diploma or GED; Bachelor's degree preferred or additional experience in lieu of degree.
• Basic computer skills with MS Outlook, Word and Excel; typing speed of 25+ WPM
• Strong verbal and written communication; organized and time-managed in a fast-paced environment.
• Familiarity with Medi-Cal and managed care plans.

Responsabilités

• Conduct outreach 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.
• Build trust with members and act as a liaison and advocate for their care.
• Document interactions and maintain accurate member records.
• Support communication with providers, including faxing/mailing documents and requesting medical records.
• Attend interdisciplinary team meetings and participate in member case reviews.
• Maintain confidentiality and meet all departmental deadlines.

Connaissances

Bilingual in Spanish

Bilingual in Vietnamese

Healthcare IPA experience

Referrals and prior authorizations

Typing 25+ WPM

Strong verbal and written comunication

Basic MS Outlook/Word/Excel

Formation

High school diploma or GED

Bachelor’s degree preferred or 4 additional years experience

Outils

Microsoft Outlook

Microsoft Word

Microsoft Excel

Description du poste

Alignment Health is seeking a remote Care Coordinator to support its Special Needs Program (SNP) case management team. This role collaborates with the RN Case Manager to address gaps in care, coordinate referrals and authorizations, and help members navigate services and resources to improve health outcomes.

The ideal candidate has at least 1 year of healthcare IPA experience, 1 year with referrals and prior authorizations, is bilingual in Spanish or Vietnamese, and holds a high school diploma