Remote Care Coordinator, Chronic Kidney Disease (Long-Term Temp w/ Med Benefits)
Location: Remote - CA, California US
Job Number 7145
Workplace Type:Fully Remote
Remote - CA,California
Alignment Health is revolutionizing health care for seniors by leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?
At Alignment Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.
Overview of the Role:
Alignment Health is seeking an organized, detail oriented, and compassionate remote care coordinator, chronic kidney disease (CKD) to join the Care Anywhere team for a long-term temporary engagement (with medical benefits.) As a care coordinator, you are responsible for UM / CM Coordinator functions as defined below. If you have experience as a front office medical assistant, want to be part of a growing organization, are hungry to learn and grow, and make a positive impact in the lives of seniors – we’re looking for you!
Please note: Alignment Health is continuing to expand so there is a possibility the engagement could extend or convert based on budget, business need, and individual performance.
Responsibilities:
- Conduct calls to nephrology clinics, primary care physician (PCP) offices, and dialysis facilities. (75% of the position is making calls, and asking hard questions regarding treatment, comfortable with speaking with Physicians)
- Able to research and update labs from Quest, hospital notes, or other sources for accurate CKD stage.
- Review daily census for new admissions
- Obtain medical records from provider offices, hospitals, and skilled nursing facilities (SNF)
- Attach medical records to authorizations
- Monitor fax folders
- Follow up scheduling and re-scheduling of no-show appointments
- Assist nurse practitioner (NP) team with visit preparation needs
- Appointment reminders to members
- Assign members to NP in EHR
- Enter all medications and allergies in electronic health record (EHR)
- Provide needed documentation to NP for visits each day
- Maintain documentation on members contacted.
- Notify NP / nurse If members appear to be non-compliant or there appears to be a change in condition
- Assist with outreach activities to members in all levels of case management programs.
- Assist with maintaining and updating members' records
- Assist with mailing or faxing correspondence to PCP’s, specialists, related to, as needed.
- Attends case management presentations and participates, as appropriate.
- Recognize work-related problems and contribute to solutions.
- Meet specific deadlines by responding to various workloads, assigning task priorities according to department policies, standards, and needs
- Work with outside vendors to provide appropriate care needs for members
- Maintain confidentiality of information between and among health care professionals.
- Communicate with multidisciplinary teams
- Cover for other team members when needed (i.e. PTO, sick time)
Required Skills and Experience:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Minimum 1 year front office medical assistant, related experience, and / or training; or equivalent combination of education and experience.
- Experience entering referrals and prior authorizations (highly preferred)
- High school diploma or general education degree (GED)
- Medical Terminology Certificate preferred
- Knowledge of medical terminology
- Knowledge of ICD-9 and CPT codes
- Knowledge of managed care plans
- Computer proficient
- Able to type minimum 40 words per minute (WPM)
- Proficient in Microsoft Office (Outlook, Excel, Word)
- Knowledge working in Access Express / Portal, Epic, Essette preferred
- Read, write, and speak English fluently.
- Bilingual English and either Spanish or Vietnamese required.
- Strong written, verbal, and telephonic communication skills.
- Able to reason and carry out instructions.
- Good interpersonal skills.
- Good organizational skills.
- File systematically..
- Language Skills: Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Able to write routine reports and correspondence. Communicates effectively using good customer relations skills.
- Mathematical Skills: Able to add and subtract two-digit numbers and to multiply and divide with 10’s and 100’s. Able to perform these operations using units of American money and weight measurement, volume, and distance.
- Reasoning Skills: Able to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Able to deal with problems involving a few concrete variables in standardized situations.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Physical Functions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear.
The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
The employee frequently lifts and / or moves up to 10 pounds.
Specific vision abilities required by this job include close vision and the ability to adjust focus.
PAY RANGE: $40,800 - $49,920 ANNUALLY
Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.
