Care Coordination Analyst, CAW

Job Number: 2574

Workplace Type:

Position Title: Care Coordinator Analyst, CAW

External Description:

Care Coordination Analyst, CAW

 

Position Summary:

The Care Coordination Analyst manages a case load and is responsible for the reporting needs that the Care Anywhere (CAW) Care Coordination (CC) team needs to ensure high service levels and delivery of quality and timely scheduling and care coordination activities. The Care Coordination Analyst acts as a subject matter expert in the delivery of CAW CC services and supports the training and onboarding of new team members.  Additionally, the role oversees operational reports to assist the Supervisor in managing performance of team members.

General Duties/Responsibilities:

(May include but are not limited to)

• Manage a case load and perform all CC services such as answering member/provider questions, resolving coordination issues, scheduling/confirming appointments, chart and visit prep, and follow up on member needs/provider orders.
• Act as a CAW CC subject matter expert to support team and members effectively and efficiently

• Procures data from primary or secondary data sources and maintain databases/data systems

• Provides detailed and accurate reporting (weekly, monthly, quarterly, and annually)
• Performs mini-audits on CC records as directed by Supervisor
• 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).
• Works closely with the leadership team to successfully onboard new team members.
• Other duties as assigned by CAW Supervisor, Manager or Director of Case Management.

Minimum Education and/or Experience:

• High school diploma or general education degree (GED); with a minimum of 6 months CAW CC experience. No licensure required.
• Knowledge of Managed Care Plans and medical terminology

• Strong understanding of Microsoft Office (Word, Excel, PowerPoint, and Outlook)

• Bilingual (English/Spanish) preferred
• Working knowledge in Access Express/Portal, epic, Essette

Other Skills and Abilities:

• Good organizational and time management skills
• Demonstrated ability to reason and carry out instructions.

 

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.

 

1. 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.
2. The employee may lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

 

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 [email protected].

 

City: Orange

State: California

Location City: Orange

Location State: California

Community / Marketing Title: Care Coordination Analyst, CAW

Company Profile:

By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors! 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, 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.

EEO Employer Verbiage:

 

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 [email protected].