Care Coordinator, Care Anywhere (Remote AZ, CA, NV | Bilingual Spanish | Medical Assistant)

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Alignment Health is seeking a remote bilingual Spanish Care Coordinator to join our Care Anywhere team. This role is open to candidates located in Arizona, California, or Nevada to align with team scheduling and Pacific Time business hours. This is a high-impact, member-facing role where you’ll partner closely with field providers to keep schedules full, coordinate care for high-risk members, and ensure consistent follow-up across the member journey. A large portion of this role is outbound outreach (approximately 75–80%), focused on engaging members, scheduling visits, and maintaining ongoing relationships—not one-time interactions. If you’re someone who thrives in a fast-paced environment, enjoys connecting with members, and takes ownership of outcomes, this is an opportunity to grow your healthcare career while directly supporting seniors in staying healthy at home and avoiding unnecessary hospital visits. Schedule: Mondays - Fridays

• Option 1: 8:00 AM - 5:00 PM Pacific Time (with 1-hour lunch)
• Option 2: 8:30 AM - 5:30 PM Pacific Time (with a 30- minute lunch)

General Duties / Responsibilities

• Manage (4) provider schedules to ensure schedules are filled.
• Prepare charts for upcoming home visit appointments (check member eligibility, gather records needed by the provider prior to the home visit)
• Conduct outreach for scheduling, appointment confirmation calls, wellness checks for high risk members, and to providers / pharmacies for member needs.
• Handle inbound / outbound Call (60 - 80 calls / day)
• Obtain medical records from provider offices, hospitals and skilled nursing facilities (SNF) and upload medical records to the electronic medical records (EMR).
• Submit referral authorizations to independent physician association (IPA) / medical groups for specialty, durable medical equipment (DME), and home health (HH) services.
• Coordinate lab orders, transportation for high-risk members.
• Documentation via EMR for Inbound / Outbound calls.
• Support short message service (SMS) and member outreach campaigns.
• Assist nurse practitioner (NP) team with visit preparation needs
• Appointment reminders to members
• Assign members to NP in EHR
• Provide needed documentation to NP for visits each day
• Direct inbound calls from members / family related to medication refills
• Assist with maintaining and updating members' records
• Assist with mailing or faxing correspondence to primary care physicians (PCP), specialists, related to, as needed.
• Attend Care Anywhere meetings / presentations and participates, as appropriate.
• Recognize work-related problems and contributes to solutions.
• Work with outside vendors to provide appropriate care needs for members

Job Requirements: Experience:

• Required: Minimum (1) year experience entering referrals and prior authorizations in a healthcare setting.
• Preferred: 2 years' healthcare experience.

Education:

• Required: High School Diploma or GED.
• Preferred: Completion of medical assistant program from an accredited school of training

Training:

• Preferred: Medical Terminology

Specialized Skills:

• Required:
• Able to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
• Knowledge of ICD9 and CPT codes
• Knowledge of Managed Care Plans
• Able to type by 10-key touch minimum of 40 words per minute (WPM)
• Proficient with Microsoft Outlook, Excel, Word
• Effective written and verbal communication skills; able to establish and maintain a constructive relationship with diverse members, management, employees and vendors;
• Language Skills: Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Able to write routine reports and correspondence. Communicates effectively using good customer relations skills.

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