As a Care Coordinator, you'll play a key role in delivering personalized support to seniors across California through a fully remote position. Working within the Care Anywhere team, you'll ensure seamless coordination between providers and members by managing provider schedules, preparing visit documentation, and following up on critical care needs.
Key Responsibilities:
- Coordinate and maintain four provider schedules to maximize availability and visit efficiency.
- Prepare patient charts ahead of home visits by verifying eligibility and gathering necessary medical records.
- Conduct daily outreach—60 to 80 calls—to confirm appointments, perform wellness checks, and respond to member and provider inquiries.
- Collect and upload medical records from clinics, hospitals, and skilled nursing facilities into the electronic medical record (EMR) system.
- Submit referrals and prior authorizations for specialty care, home health, and durable medical equipment to medical groups and IPAs.
- Arrange lab testing and transportation logistics for high-risk individuals.
- Document all inbound and outbound communications accurately in the EMR.
- Support SMS campaigns and member outreach initiatives.
- Assist nurse practitioners with visit prep, including assigning patients in the EHR and delivering required documentation.
- Respond to incoming calls regarding medication refills and coordinate with pharmacies and providers.
- Maintain up-to-date member records and distribute correspondence to primary care physicians and specialists via fax or mail.
- Attend team meetings and contribute to process improvements.
- Collaborate with external vendors to meet member care requirements.
Qualifications
Applicants must have at least one year of experience processing referrals and prior authorizations in a healthcare setting, along with a high school diploma or GED. Bilingual fluency in English and Spanish is required, both written and spoken.
Proficiency in Microsoft Outlook, Word, and Excel is essential, as is a typing speed of at least 40 words per minute using 10-key touch. Familiarity with ICD-9 and CPT coding, managed care plans, and electronic medical records is necessary. Experience with Athena is preferred but not required.
Strong communication, problem-solving, and organizational abilities are critical, along with the capacity to interpret medical instructions and manage multiple tasks in a fast-paced environment.
Preferred Background
- Two or more years in healthcare administration or coordination.
- Graduate of an accredited medical assistant program.
- Certification as a medical assistant or in medical terminology.
- Training or experience with Athena EMR.
Work Environment
This is a full-time, remote role based in California, with set scheduling options: Monday through Friday, either 8:00 AM to 5:00 PM PT (including a one-hour lunch) or 8:30 AM to 5:30 PM PT (with a 30-minute break). The position supports a collaborative, mission-focused culture dedicated to improving senior health outcomes through innovation and compassionate service.
The organization is committed to equal opportunity and values diversity, equity, and inclusion across all aspects of employment. All qualified applicants will be considered without regard to race, religion, gender identity, sexual orientation, veteran status, or disability.
