UNKNOWN

FEED

Effectively schedule of participant's appointments, including trouble-shooting conflicts or urgent needs, communicating with staff, family, providers, etc., and meeting appointment turn-around times as outlined by scheduling protocols . The Customer Service Representative will be focused on inbound and outbound calls within the call center to assist patients with questions, scheduling, processing authorizations, customer inquiry, and additional admin tasks as needed.

Our healthcare company is seeking Bilingual Spanish speaking compassionate individuals to join their remote customer care team. The Customer Service Representative will be focused on inbound and outbound calls within the call center to assist patients with questions, scheduling, processing authorizations, customer inquiry, and additional admin tasks as needed.  
100% Remote, but need to be able to commute to North Hollywood, CA for monthly one-day training sessions. Equipment: Company provided Laptop, Headset, and Monitor Schedule: Mon-Fri 9:00AM-5:30PM, Subject to change start time between 7AM-9AM Job Overview <ul><li>Answer incoming phone calls, emails, and contacts in a fast paced call center environment [approx. 75+ calls per day]
	</li><li>Screen, transfer, resolve and dispose of calls expeditiously.
	</li><li>Effectively schedule of participant's appointments, including trouble-shooting conflicts or urgent needs, communicating with staff, family, providers, etc., and meeting appointment turn-around times as outlined by scheduling protocols
	</li><li>Review, process, schedule and authorize orders
	</li><li>Ensure timely documentation of all updates and communication is documented within internal system
	</li><li>Provide eligibility status and benefit information for participants
	</li><li>Address participant and provider inquiries
	</li><li>Escalate concerns as needed
</li></ul>Job Requirements<ul><li>High School Diploma or GED Required
	</li><li>1 year experience in a Service/Support call center environment
	</li><li>Fluency in Spanish is required
	</li><li>Customer Service in a healthcare setting is a plus
	</li><li>Must be computer savvy - we will train on CRM systems
	</li><li>Must have reliable high-speed internet connection at home.
</li></ul>

Marquee Staffing

Remote Call Center Representative - Bilingual Spanish

Administrative Skills

Broadband

Call Centers

Customer Support/Service

Documentation

Healthcare

High School Diploma

Identify Issues

Laptop PC

Multilingual

Schedule Development

Spanish Language

Telephone Skills

Time Management

HaleyMarketing

FULL_TIME

OTHER

Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. 2. Conducts in-market member engagement including Welcome Calls, New Member Onboarding, JSA Scheduling, High Quality PCP and Provider Terms, Product/Vendor Changes, CAHPS Proxy, Disenrollment Quality Assurance, and Proactive Service Recovery.

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. The Remote Regional Concierge Navigator provides outreach and support to all our members, ensuring they have access to the care they deserve. Supports our members to navigate through their health care and benefits. Connects the dots between our provider network, health plan operations, and supplemental vendors. Maintains a high knowledge of the member needs of their respective market and assist our members every step of the way to ensure they are never alone in their healthcare journey and have the highest level of coordinated care. Lays the groundwork for future and ongoing member support. Has familiarity with assigned markets and understands the meaningful contributions to members' healthcare outcomes.ENERAL DUTIES/RESPONSIBILITIES 1. Provides in-market, specialized member support in respective market or region. 2. Conducts in-market member engagement including Welcome Calls, New Member Onboarding, JSA Scheduling, High Quality PCP and Provider Terms, Product/Vendor Changes, CAHPS Proxy, Disenrollment Quality Assurance, and Proactive Service Recovery 3. Conducts case follow-ups and quality member issue resolution for all cases assigned. 4. Ensures members have access to PCP and specialists to coordinate care. 5. Educates members on gaps in care and assists with scheduling provider appointments. 6. Serves as the patient's liaison throughout the life cycle of the program by addressing program specific quality measures and adhering to company guidelines/standard operating procedures. 7. Makes appropriate and timely patient appointments, reminders, and confirmations and Mails letters and correspondence as needed. 8. Places regular/consistent outreaches to the patient 9. Communicates with PCP with any member updates and requests. 10. Assists with obtaining medical records from any healthcare providers involved in care or hospitals. 11. Helps members with any authorizations and referrals involved in their care plan. 12. Resolves incoming calls concerning members' eligibility, benefits, provider information, clinical, and pharmacy needs; coordinate membership changes such as member's primary care physician and proactively engage member with their wellness plan options. 13. Participates in on-site member engagement activities as needed, such as in-person member meetings, handling lobby calls at a retail or care center location, etc. (subject to change). 14. Other duties as assigned. Job Requirements: Experience: • Required: Minimum 1 year of customer service experience.• Preferred: High-volume inbound customer service experience, particularly for health plan or Medicare "Member Services" roles in health plan and supplemental benefits preferred. Telemarketing and/or member outreach experience preferred. Specialized experience in escalation or resolution units preferred. Education: • Required: High School Diploma or GED. Specialized Skills: • Required: <ul><li>Knowledge of ICD-10 and CPT codes.</li><li>Keyboard typing 40+ words per minute.</li><li>Ability to help members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations.</li><li>Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.</li><li>Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors;</li><li>Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization.</li><li>Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.</li><li>Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly</li><li>Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.</li></ul> • Preferred: Bilingual English/Spanish or English/Vietnamese or English/Mandarin. Fluency in written and verbal Spanish, Korean, or Vietnamese, a plus. Licensure: • Required: NoneWork EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this 100% remote job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1 While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.2 The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range: $44,790.00 - $67,185.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/ . If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email careers@ahcusa.com .

<img alt=" " height="1" src="https://ars2.equest.com/?response_id=2c272a1b24d10a9fbad566c4ab370d51&view" width="1"/>

Alignment Healthcare USA, LLC

Remote Outreach Concierge Navigator (Bilingual in Spanish)

equestftpin

Our Supportive Housing Services (SHS) programs provide Intensive Case Management Services (ICMS) in a Permanent Supportive Housing (PSH) setting to individuals who have experienced homelessness and have a history of chronic health, mental health, and/or co-occurring conditions. Responsibilities of the Case Manager include: Meeting with tenants regularly to provide strengths-based case management and service coordination, such as coaching around independent living skills, employment assistance and linkage to community providers for services.

HOUR

<div class="content-intro">WHY WORK FOR US? We are mission and values driven and your contributions will makeadifference. We make a positive differenceinpeople'slives and helpan average of 23 people per week to find a place to live.If you join us, you will be abletoadvocate for change whilealsoworking with influentialpeople who effectchanges in policy and devote time to issuesof racial and social justice. We prioritize your work/life balance and provide various scheduling options inadditionto generous time off, health, and wellness benefits and we're committed to helping you reach your potential by providing opportunities for professionalgrowth across the state.<hr/> </div>JR 5457 Case Manager (Bilingual Preferred) Torrance, CA 90502 Salary: $23.24 to $28.28 per hour Pay Frequency: 24 Pay Periods Per Year Full Time Non-Exempt Driving Required Lower end of range will apply to candidates who meet minimum experience or have limited years of relevant experience. The higher end of range will apply to seasoned candidates with considerable years of relevant experience.--**THE SCHEDULE FOR THIS POSITION IS MONDAY-FRIDAY, 8:00AM-4:30PM**PATH is seeking candidates passionate about helping others make a positive change in their lives to join our PSH Team as the Case Manager at our West Carson Villas site in Torrance, California.ABOUT OUR SUPPORTIVE HOUSING SERVICES Our Supportive Housing Services (SHS) programs provide Intensive Case Management Services (ICMS) in a Permanent Supportive Housing (PSH) setting to individuals who have experienced homelessness and have a history of chronic health, mental health, and/or co-occurring conditions. Services are centralized and provided to clients living on-site to ensure ease of access to the resources necessary for long-term housing stabilization, improving their quality of life and community integration.WHAT IS A CASE MANAGER? Case Managers are part of a team of community service providers and PATH staff that work to ensure PSH tenants are moving towards their individual goals. Case Mangers in our SHS program provide recovery orientated, direct client services and case management support. Responsibilities of the Case Manager include:<ul><li>Meeting with tenants regularly to provide strengths-based case management and service coordination, such as coaching around independent living skills, employment assistance and linkage to community providers for services</li><li>Collaborating with tenants to create person-centered plans that address short-term and long-term goals and the follow-up necessary to reach these goals</li><li>Consulting with the team to conduct crisis and risk assessments and provide crisis intervention services focused on enhancing the tenants' ability to independently problem solve, utilize effective coping skills, and manage and self-coordinate own care.</li><li>Mediating and advocating on behalf of the of the tenant to assist with obtaining and keeping stabilizing resources such as housing, healthcare benefits, and transportation</li></ul>WHAT YOU BRING We're looking for candidates that:<ul><li>Are willing and able to provide community and in-home based services on a regular basis</li><li>Possess a high level of tolerance and understanding for individuals with urgent and multiple case management and health needs</li><li>Work just as well independently as they do on a team</li><li>Exercise mature judgement, and are highly motivated, self-starting and proactive</li><li>Are excellent at communicating, whether in writing or verbally</li><li>Have a strong sense of prioritization and can coordinate multiple demands in a high-pressure environment</li></ul>MINIMUM QUALIFICATIONS<ul><li>All level of education and experience welcome to apply. </li></ul>PREFERRED QUALIFICATIONS<ul><li>Two (2) years of experience in healthcare, case management, homeless services or working with vulnerable populations or a related field. </li></ul>MANDATORY REQUIREMENTS For this role the Case Manager must:<ul><li>Be able and willing to work flexible hours which may include evenings or weekends</li><li>Have employment eligibility verification</li><li>Have or be able and willing to obtain CPR/First Aid training</li><li>Provide proof of full COVID-19 vaccination</li><li>Have reliable transportation and:
<ul><li>A valid driver's license</li><li>Auto Insurance</li><li>The ability to qualify for PATH insurance coverage</li></ul></li><li>Successfully complete the following as a condition of hire:
<ul><li>Tuberculosis Test</li><li>Background Screening</li><li>Drug Test</li></ul></li></ul>DRIVING Driving is an essential function of this position. To meet the employment requirements for this role, all candidates must: <ul><li>Have reliable transportation</li><li>A valid driver's license</li><li>Proof of insurance and ownership for personal vehicles used during work duties</li><li>The ability to qualify for PATH's insurance coverage</li></ul><div class="content-conclusion"><hr/>EMPLOYMENT ELIGIBILITY Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa.PATH is committed to maintaining the highest standards of professionalism and objectivity in our services and employment practices. To avoid potential conflicts of interest and ensure the integrity of our programs, we are unable to employ individuals who are currently receiving services from PATH or have received services within the past two years.CALIFORNIA-BASED WORK EXPECTATIONS We are a California employer. Therefore, all regular and customary work must be performed within the state. Approval for work outside of the office, does not establish approval for work to be conducted outside of California.PATH does not offer fully remote positions. While some roles may include a schedule that involves multiple designated worksites or approved off-site locations (e.g., hybrid schedules), this does not imply that work will be performed from home. Many positions are fully on-site with no off-site work. All work schedules are determined by the responsibilities of the role and operational requirements, and may be adjusted at any time.WHAT WE OFFER In addition to a rewarding work environment, we offer our employees a competitive benefits package that includes medical, dental and vision coverage, vacation and sick time, paid holidays, and a retirement plan.READY TO MAKE A DIFFERENCE THROUGH ACTION? If this position sounds like a fit, please submit your application today. A resume is required.<hr/>PATH provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, PATH complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.PATH will consider for employment all qualified Applicants, including those with Criminal Histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.PATH is dedicated to racial and social justice by centering equity in our service delivery and maintaining a diverse and inclusive work environment for the communities we serve. We seek awareness and insight from witnessing the stories of our clients and learning from the experiences of our staff to ensure impactful systems change. If people are empowered, they can bring their authentic, whole selves to work and when people feel like they belong, they can become part of a unified effort of ending homelessness for all.</div>

PATH (People Assisting the Homeless)

Case Manager - West Carson Villas (JR 5457) *Bilingual Preferred*

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Remote Call Center Representative - Bilingual SpanishMarquee Staffing

Remote Outreach Concierge Navigator (Bilingual in Spanish)Alignment Healthcare USA, LLC

Case Manager - West Carson Villas (JR 5457) *Bilingual Preferred*PATH (People Assisting the Homeless)

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