Location: Hybrid

• Mainly a fully remote position. Must be within a commutable distance to Alameda County.
• Occasional onsite visits (approx. six per month) to Skilled Nursing Facilities (SNFs) may be required.

Pay Rate: $33.46 - $50.20 hourly, dependent on experience

Position Overview: Under the direction of the Non-Clinical Supervisor of Case Management, the Coordinator of Case Management supports case management staff and health plan members in non-clinical care coordination. Utilizing strong customer service skills, the Coordinator will establish positive relationships with members via phone, leveraging excellent listening, verbal, and written communication skills, a clear speaking voice, and an understanding of Alameda Alliance for Health's various case management programs, plan benefits, and services. The focus is on assisting members in accessing Case Management, Community Supports, and Enhanced Care Management (ECM) team members.

Principal Responsibilities:

• Assist staff in identifying, reaching out, orienting, and providing basic care coordination services to members.
• Establish and maintain effective communication and relationships with participants, caregivers, PCPs/Providers, and other resources.
• Participate in meetings and training to gain knowledge of care coordination and specific physical and behavioral health conditions.
• Provide guidance, support, education, and care coordination to participants and their families throughout the healthcare continuum.
• Offer telephonic or email support to other departments, participants, and members in case and disease management programs.
• Understand coverage and benefits to promote service utilization and increase member satisfaction.
• Resolve continuity of care issues or other problem areas promptly.
• Educate and answer member inquiries about benefits, services, eligibility, and referrals.
• Provide community referrals and facilitate access to support services to address presenting issues.
• Collaborate with interdisciplinary teams to ensure appropriate care levels and optimal outcomes.
• Maintain confidentiality and security of the electronic database.
• Assist in continuity of enrollment by working with state and federal eligibility staff/vendors.
• Research and compile data for special projects.
• Complete and document all member calls and explain health plan program benefits.
• Handle inbound and outbound calls, maintaining data integrity in the member database.
• Perform administrative tasks such as copying, faxing, distributing documents, file maintenance, and record keeping.
• Participate in departmental and non-departmental meetings and initiatives.
• Perform writing, administration, data entry, analysis, and report preparation.
• Assist members in communicating and coordinating services with PCPs, specialists, hospitals, and other community providers.
• Comply with the organization's Code of Conduct and all regulatory, contractual, and internal controls.

Physical Requirements:

• Constant desk/computer work.
• Frequent sitting, data entry, and use of telephone headset.
• Regular verbal and written communication.
• Occasional lifting of objects up to 30 lbs.
• Frequent walking and standing.

Education and Training:

• Bachelor's degree in healthcare-related field or
• Two years of college with a minimum of two years' healthcare experience.
• Cleared TB test prior to or within seven days of hire.

Additional Requirements:

• Employees may be required to test for Tuberculosis and be vaccinated against COVID-19 and influenza.
• Successful candidates may need to submit proof of vaccination or request an exemption during onboarding.

#MedixCM