Telephonic Care Coordinator (Bilingual Spanish, MA, Remote, Pacific Time)

Alignment Health•Remote CA Outside Bay Area, CA

11d•$41,472 - $62,208•Remote

About The Position

Alignment Health is seeking a bilingual Spanish Care Coordinator for its remote Care Anywhere team. The role supports transitions-of-care outreach following hospital and skilled nursing facility (SNF) discharges. It is a high-volume, phone-based position focused on timely member outreach, arranging follow-up care, coordinating identified needs, and documenting outreach and outcomes. Most of the workday is spent making outbound calls, following time-sensitive protocols, and engaging members with professionalism and empathy. The position follows a Monday–Friday Pacific Time schedule, with either 8:00 AM–5:00 PM and a one-hour lunch or 8:30 AM–5:30 PM and a 30-minute lunch. The role works with clinical and care management staff, escalates clinical concerns to the appropriate team member, and supports members as a patient advocate. The listed pay range is $41,472–$62,208.

Requirements

At least 1 year of experience working in healthcare, such as a health plan, medical office, IPA, or MSO.
Experience conducting frequent or high-volume telephonic outreach to patients or members.
Experience interacting directly with patients or members and supporting healthcare scheduling, outreach, or front-office activities.
High school diploma or GED.
Completion of an accredited Medical Assistant program.
Willingness and ability to spend most of the workday conducting outbound telephonic member outreach.
Ability to consistently perform time-sensitive outreach and follow outreach and documentation requirements.
Ability to engage members professionally and empathetically by telephone, gather information, complete questionnaires, and coordinate follow-up.
Ability to read and interpret documents, write routine reports and correspondence, and communicate effectively using good customer relations skills.
Ability to communicate positively and professionally, provide leadership, teach, and collaborate with others.
Effective problem-solving, organizational, and time-management skills, and ability to work in a fast-paced environment.
Knowledge of managed care plans and Medi-Cal.
Proficient computer skills, including Microsoft Outlook, Excel, and Word, and typing speed of 35 WPM.
Ability to perform basic arithmetic, including operations involving American money and units of weight, volume, and distance.
Ability to follow detailed but straightforward written or oral instructions and address problems involving a few concrete variables in standardized situations.
Bilingual English/Spanish.

Nice To Haves

Experience with transitions of care, post-discharge outreach, hospital or SNF discharge follow-up, care management, or population health outreach.
Experience requesting medical records from hospitals, SNFs, physician offices, or other healthcare facilities.
Experience assisting members or patients with authorizations, referrals, appointment scheduling, resource identification, or related care coordination activities.
Medical Terminology training.

Responsibilities

Conduct high-volume outbound calls to members after hospital and SNF discharges.
Follow time-sensitive outreach protocols and complete required outreach attempts and follow-up activities.
Help members schedule timely follow-up appointments with Care Anywhere providers and other appropriate healthcare resources.
Use established scripts and questionnaires to guide outreach and capture required information accurately.
Document outreach, outcomes, and follow-up activities in required systems in a timely and accurate manner.
Create cases and tasks and document hospital and SNF discharges in the Case Management module.
Assist members with referrals, authorizations, home health care (HHC), durable medical equipment (DME), medication refills, provider appointments, follow-ups, and other care coordination needs as applicable.
Request and upload medical records from hospitals, SNFs, primary care providers, specialists, and other healthcare providers as needed.
Complete tasks assigned by nurses and document them as appropriate.
Collaborate with clinical and care management staff to engage and manage assigned members.
Manage new alerts and escalate changes in condition, admissions, discharges, new diagnoses, and other clinical concerns to the appropriate clinical team member.
Build relationships with members, earn their trust, and act as a patient advocate.
Assist with outreach and provide cross-coverage for other member needs as required by business needs.
Help maintain and update member records.
Assist with mailing or faxing correspondence to members, providers, and other healthcare organizations as needed.
Meet deadlines and prioritize workload according to department policies, standards, and member needs.
Maintain confidentiality of information among healthcare professionals.
Perform other duties assigned by the CM Supervisor, Manager, or Director of Care Management.