Care Coordinator II – Care at Home

This is a fully remote position, open to applicants in California.

📋 Description

• Oversee incoming Care at Home referrals from their initial receipt through outreach, scheduling, enrollment, or final resolution.

• Execute high-volume outreach to members and caregivers via phone, text, and other approved communication methods.

• Arrange initial, follow-up, urgent, in-home, and telehealth appointments.

• Manage provider schedules by filling openings, backfilling cancellations, rescheduling missed visits, and aiding in achieving visit goals.

• Create efficient in-home schedules by assessing member locations, provider coverage areas, travel time, and visit logistics.

• Prepare patient charts, secure and upload medical records, and maintain precise member and program information.

• Monitor provider task queues and complete non-clinical, provider-directed care coordination assignments.

• Coordinate and track referrals, authorizations, medical record requests, durable medical equipment, home health services, labs, imaging, hospice, and other ordered services.

• Handle incoming calls, messages, faxes, and electronic tasks.

• Communicate effectively with members, caregivers, providers, primary care offices, hospitals, facilities, health plans, and vendors.

• Assist with post-discharge and transitional care workflows, including hospital tracking, member status changes, and program discharges.

• Elevate clinical concerns, urgent requests, unresolved issues, and obstacles to the appropriate team member.

• Maintain operational trackers, engage in meetings and process-improvement initiatives, and provide cross-coverage when suitably trained.

• Meet expectations for timeliness, schedule utilization, chart preparation, documentation accuracy, task completion, and member service.

• Complete provider-directed coordination tasks without independently delivering medical advice, assessing symptoms, interpreting clinical results, or making treatment decisions.

⛳️ Requirements

• High school diploma or GED.

• Proficiency in Microsoft applications such as Word, Excel, and Outlook.

• Experience in a healthcare setting is preferred.

• Strong preference for experience with referrals, authorizations, medical records, or care coordination.

• Ability to handle multiple priorities in a fast-paced, high-acuity environment.

• Bilingual skills are preferred, depending on the member population.

• Experience in coordinating care for high-risk or medically complex members.

• Experience supporting post-discharge or transitional care workflows.

• Familiarity with working closely with clinical providers and executing provider-directed coordination tasks.

• Excellent organizational skills and attention to detail.

• Ability to think critically and proactively identify barriers to care.

• A member-centered approach combined with strong communication skills.

• Availability to work Monday through Friday, from 8 AM to 5 PM PST.

🏝️ Benefits

• Full-time, remote position.

• Working hours are Monday through Friday, 8 AM to 5 PM PST.