Remote Care Coordinator, SNP (Bilingual Spanish Preferred))
Core
Remote Care Coordinator supporting members with complex and chronic care needs by closing care gaps, managing referrals, authorizations, and coordinating care within the Special Needs Plan (SNP) program.
Role type
Entry-level care coordinator (case management support)
Builds
Care coordination workflows and member engagement for the SNP program
Domain
Healthcare / Managed Care / Special Needs Plans
Deliverable
client delivery
Required skills
Telephonic outreach, case management software usage, referral and prior authorization processing, medical record management, interdisciplinary team collaboration, deadline management
Preferred skills
Bilingual (Spanish or Vietnamese), Medical Assistant training, knowledge of Medi-Cal and Managed Care Plans
Responsibilities
Reaches out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, and appointments; Creates cases, tasks, and completes assessments in Case Management module for Hospital and SNF discharges; Escalates concerns to nurses regarding non-compliance or changes in condition; Attends Interdisciplinary Team Meetings; Maintains confidentiality of member information
Seniority
Entry-level, hands-on IC