Grow Healthy
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.
The Medicare Services Coordinator will provide member-centric services to Medicare/Medi-Cal senior patients,including newly enrolled members of senior plansProviding a high-touch problem resolution approach, the coordinator is responsible forincoming calls, outbound calls, and initiatives that increase problem resolution, engagement, and retention. The coordinator is responsible forscreening patient needs, answering patient questions, scheduling, and documenting services. The Medicare Services Coordinator is the point of contact for an in-depth orientation and services coordination in the first 45 days following newly enrollee assignments including making welcome calls, explaining and providing coordination of the health plan benefits and services available,; providing explanation of plan benefits, identifying service needs such as transportation to and from appointments and removing barriers for health care access.This position offers coordination of services required by regulation such as Health Risk Assessment/Medicare Health Assessment, identification of problem areas or concerns, appropriate interventions/services to be arranged, any additional plan specific requirements and maintaining a comprehensive and progressive record in EHR and CRM of all coordination activities including need for escalating problems or issues. Responsibilities include liaising with providers and staff responsible for coordinating follow-up and ensuring systematic check-ins with the members as needed. This position will require providing warm hand-offs with assistance services and identifying opportunities to improve efficiencies and customer service. The Medicare Services Coordinator ensures the best member experience possible from beginning to end.
Minimum Requirements
High School diploma or equivalent required.
Bachelor's in social work (or related field) with senior plans and patient-centric experience, or Medical Assistant or LVN desirable.
Minimum 3 years’ experience working in a healthcare customer service/care coordination environment; knowledge of plan benefits and regulations governing Medi-Cal, Commercial, Medicare, and other government and commercial programs. Minimum 3 years of experience in a managed health care environment, preferably IPA, HMO, or Health Plan, preferred, in addition to experience working with an ethnically diverse population.
Bilingual English/Spanish required
Compensation
$25.00 - $29.32 hourly
Compensation Disclaimer
Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.
Benefits & Career Development
Job Advertisement & Application Compliance Statement
AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
AltaMed is one of the nation’s largest community health networks. For more than 55 years, we have provided care to patients in the diverse neighborhoods of Los Angeles and Orange counties. For health care professionals dedicated to their patients, communities, and careers, AltaMed offers an opportunity to pursue professional goals with pride and distinction.
As a non-profit organization, we focus on the needs of our patients and the well-being of our communities. Our commitment to community health pushes us to look beyond our offices and clinics and see not just patients, but new possibilities for community wellness. Many of our employees joined us because their families were AltaMed patients and saw firsthand that patients are at the center of all we do.
This approach supports our ambitious goals. We are continually accredited by The Joint Commission (JCAHO), which ensures quality standards in U.S. medical facilities. We were the first community health network in the nation designated as a Primary Care Medical Home (PCMH). We are extremely proud of our patient satisfaction achievements, including our highest scores during our greatest period of growth. We have expanded to 40+ locations in Southern California, offering primary medical, dental, and senior care. We are active in community outreach and education and staffed by dedicated professionals committed to patient care.
Always looking for ways to serve more people, AltaMed leads the industry in bringing new individuals into our nation’s health care system as the top enroller for Covered California. As we continue to grow, we remain at the forefront of evolving health care systems, providing comprehensive care throughout patients’ lives. We will continue to build on our reputation as a rewarding long-term choice for both patients and professionals who believe quality health care is everyone’s right.
