Alignment Healthcare is a population health management company dedicated to changing the way health care is delivered in the United States. We are a fast-growing, highly dynamic organization that isn’t content with the status quo. We are looking for dedicated, innovative individuals who thrive in a fast-paced environment to join our team and help us carry out our vision - that is, to lead a movement that transformationally improves health care.

Join us today and we will give you every opportunity to succeed.

Case Management Inpatient Care Coordinator

Location: Orange, California US

Notice

This position is no longer open.

Job Number: 1758

Position Title: Case Management Inpatient Care Coordinator

External Description:

Case Management Inpatient Care Coordinator

 

Position Summary:

The Care Coordinator is responsible for Inpatient Care Coordinator functions as defined below:

 

General Duties/Responsibilities:

(May include but are not limited to)

  • Assist team with Daily census by entering Face sheets for hospitals and SNF’s
  • Obtain medical records from hospitals and SNF’s
  • Attach medical records to authorizations
  • Enter referral requests/authorizations in system using ICD 9 and CPT coding
  • Monitor Fax Folders
  • Complies with tasks assigned by nurse and, as appropriate, documents accordingly.
  • Maintains documentation on facilities contacted.
  • Assists with maintaining and updating member’s records
  • Assists with mailing or faxing correspondence to facilities, related to, as needed.
  • Requests medical records from facilities, etc., related to members activities, as needed.
  • Attends Case Management presentations and participates, as appropriate.
  • Recognizes work-related problems and contributes to solutions.
  • Meets specific deadlines (responds to various workloads by assigning task priorities according to department policies, standards and needs).
  • Maintains confidentiality of information between and among health care professionals.
  • Other duties as assigned by CM Supervisor, Manager or Director of Healthcare Services.

Minimum Education and/or Experience:

  • High school diploma or general education degree (GED); with one to three months related experience and/or training; or equivalent combination of education and experience. No licensure required.
  • Knowledge of ICD9 and CPT codes
  • Knowledge of Managed Care Plans and medical terminology
  • Experience entering referrals and prior authorizations
  • Other:
  • Basic Computer Skills, 25 WPM (Microsoft Outlook, excel, word
  • Bilingual (English/Spanish) preferred
  • Medical Terminology Certificate preferred
  • Knowledge working in Access Express/Portal, epic, essett (not mandatory)
  • Good oral, written and telephone skills

Skills and Abilities:

  • Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.  Ability to write routine reports and correspondence.  Communicates effectively using good customer relations skills.
  • Mathematical Skills: Ability to add and subtract two digit numbers and to multiply and divide with 10’s and 100’s.  Ability to perform these operations using units of American money and weight measurement, volume, and distance.
  • Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.  Ability to deal with problems involving a few concrete variables in standardized situations.
  • Computer Skills: Basic skills required.

Other Skills and Abilities:

  • Good organizational skills
  • Ability to reason and carry out instructions.
  • Good interpersonal skills.
  • Read, write and speak English fluently.
  • File systematically.

 

City: Orange

State: California

Location City: Orange

Location State: California

Community / Marketing Title: Case Management Inpatient Care Coordinator

Company Profile:

Who is Alignment Healthcare?

  • Socially responsible
  • Technologically enabled
  • Concierge care
  • Transformation
  • Servant leadership

We are dedicated to transforming the complex and confusing process of medical treatment in the United States so that every link in the health care continuum becomes more efficient, productive, and effective. We built a team of people who want to make a difference. Come join the team that is changing health care one person at a time.

We believe that great work comes from people who are inspired to be their best. We invite you to explore our wide variety of roles based on your unique experience.

EEO Employer Verbiage:

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.

If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact careers@ahcusa.com.

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