Care Coordinator, Transition of Care, Bilingual Spanish

Alignment Health

. Reach out to members by telephone to assist with referrals, authorizations, HHC, DME needs, medication refills, provider appointments, and follow-ups .

Posted 10/7/2026full-timeRemote • United StatesJunior💰 $41,472 - $62,208 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Case Management processes, including referrals, authorizations, and member advocacy, while maintaining effective communication and organizational skills in a fast-paced healthcare environment.

Highest-signal resume keywords

Case Management ExperienceReferral and Authorization ProcessingKnowledge of Managed Care PlansBilingual in English and SpanishEffective Communication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Case Management Module ProficiencyReferral EntryPrior Authorization EntryMedical Record ManagementBasic Mathematical SkillsTyping Speed of 25 WPM

Soft Skills

Customer RelationsProblem-Solving SkillsOrganizational SkillsTime-Management SkillsLeadership and Collaboration

Tools & Technologies

Microsoft OutlookMicrosoft ExcelMicrosoft Word

Industry Keywords

Health Care IPAsMedi-CalPatient AdvocacyInterdisciplinary Team MeetingsConfidentiality in Healthcare

About the role

Key responsibilities & impact

Reach out to members by telephone to assist with referrals, authorizations, HHC, DME needs, medication refills, provider appointments, and follow-ups
Create cases and tasks and complete assessments in the Case Management module for Hospital and SNF discharges
Complete tasks assigned by the nurse and document accordingly
Work with the Case Manager to engage and manage a panel of SNP members
Manage new alerts and update the Case Manager regarding changes in condition, admissions, discharges, or new diagnoses
Establish relationships with members, earn their trust, and act as a patient advocate
Escalate concerns to the nurse regarding non-compliance or changes in condition
Assist with outreach activities for members in all levels of Case Management Programs
Maintain and update member records
Mail or fax correspondence to members, PCPs, and specialists
Request and upload medical records from PCPs, specialists, hospitals, and other providers
Attend Interdisciplinary Team Meetings and participate in member presentations as appropriate
Meet deadlines and prioritize tasks according to department policies, standards, and needs
Maintain confidentiality of information among health care professionals
Perform other duties assigned by the CM Supervisor, Manager, or Director of Care Management

Requirements

What you’ll need

Minimum 1 year experience working in Health Care IPAs
Minimum 1 year experience entering referrals and prior authorizations
High School Diploma or GED; Bachelor's degree or four years additional experience in lieu of education
Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals
Ability to write routine reports and correspondence
Effective customer relations and communication skills
Ability to communicate positively, professionally, and effectively; provide leadership, teach, and collaborate
Effective problem-solving, organizational, and time-management skills
Ability to work in a fast-paced environment
Knowledge of Managed Care Plans
Knowledge of Medi-Cal
Basic computer skills and typing speed of 25 WPM
Proficiency with Microsoft Outlook, Excel, and Word
Basic mathematical and reasoning skills
Bilingual in English and Spanish