Case Management Coordinator II

AltaMed•Montebello, CA

About The Position

This position is primarily responsible for gathering relevant information for the identified member population during assessment, care planning, interdisciplinary care team meetings, and transitions of care. The coordinator troubleshoots situations as they arise and takes independent action to resolve complex issues.

Requirements

  • High school diploma or equivalent.
  • At least 3 years of experience working in a healthcare environment.
  • Prior experience working in a clinic or healthcare call center.
  • Knowledge of prior authorization and case management regulations governing Medi-Cal, commercial, Medicare, CCS, and other government and commercial programs.

Nice To Haves

  • Medical assistant certification.
  • Experience in a managed healthcare environment, preferably an IPA, HMO, or health plan.
  • Experience working with an ethnically diverse population.

Responsibilities

  • Gather relevant information for the identified member population during assessment and care planning.
  • Gather relevant information during interdisciplinary care team meetings and transitions of care.
  • Troubleshoot problem situations and independently resolve complex issues.

Benefits

  • Medical, dental, and vision insurance
  • 403(b) retirement savings plans with employer matching contributions
  • Flexible Spending Accounts
  • Commuter Flexible Spending
  • Career advancement and development opportunities
  • Paid Time Off and holidays
  • Paid CME days
  • Malpractice insurance and tail coverage
  • Tuition reimbursement program
  • Corporate employee discounts
  • Employee referral bonus program
  • Pet Care Insurance
  • The role may qualify for discretionary bonuses or incentives.
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