NewBilingual Spanish Community Health Worker (Orange County) SHPCA SCAN Health PlanBilingual Spanish Community Health Worker (Orange County)Santa Ana, CaliforniaRemotePerform Enhanced Care Management (ECM) activities related to specific Populations of Focus (POF): Individuals Experiencing Homelessness, Individuals At Risk for Avoidable Hospital Or ED Utilization, Adults Living In the Community At Risk of LTC Institutionalization, Adult Nursing Facility Residents Transitioning Back to the Community. Perform assessments for Medi-Cal/Medicare dual-eligible members referred to Complex Care Management for Long-Term Services and Supports (LTSS) and assist the Registered Nurse in determining Nursing Facility Level of Care.
Remote Outreach Concierge Navigator (Bilingual in Spanish) Alignment Healthcare USA, LLCRemote Outreach Concierge Navigator (Bilingual in Spanish)Orange, CARemoteFull timeEffective 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.
Bilingual Spanish RN, Care Management (Riverside) SHPCA SCAN Health PlanBilingual Spanish RN, Care Management (Riverside)Riverside, CaliforniaRemotePerform nursing related California Integrated Care Management (CICM) activities related to specific Populations of Focus (POF): Individuals Experiencing Homelessness, Individuals At Risk For Avoidable Hospital Or ED Utilization, Adults Living In The Community At Risk Of LTC Institutionalization, Adult Nursing Facility Residents Transitioning Back To The Community, Documented Dementia, Serious Mental Illness (SMI) & Substance Use Disorder (SUD). The Registered Nurse (RN) – Care Management is a clinically accountable role responsible for delivering high-touch, person-centered care management to members with complex medical needs who cannot be effectively supported through telephonic care management alone.
Remote Outreach Concierge Navigator (Bilingual in Spanish) Alignment Healthcare IncRemote Outreach Concierge Navigator (Bilingual in Spanish)CARemote$44,790–$67,185 / yearEffective 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. 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.
Remote Bilingual Social Worker – Case Management (Special Needs Plan, SNP) Alignment Healthcare USA, LLCRemote Bilingual Social Worker – Case Management (Special Needs Plan, SNP)Orange, CARemoteFull timeThe 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. *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.
Bilingual Case Management Specialist Remote Flexible, Spanish Speaking Arc Care IncBilingual Case Management Specialist Remote Flexible, Spanish SpeakingIrvine, CARemote$22–$25 / hourOur work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients. We seek a full-time Lead Care Manager to play a critical role in our whole-person, interdisciplinary care model, responsible for directly outreaching and engaging with individuals living with Serious Mental Illness/ Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs.
NewPhysical Therapist (PT) for Home Health - Mandarin Speaking FeldCare ConnectsPhysical Therapist (PT) for Home Health - Mandarin SpeakingBeaumont, CARemoteCompletion of a Physical Therapist curriculum approved by The American Physical Therapy Association, The Council on Medical Education and Hospitals of the American Medical Association, or The Council on Medical Education of the American Medical Association. FeldCare Connects is currently seeking a self-motivated Physical Therapist to deliver premier excellence of care and is enthusiastic about working with adults of all ages.
CCSB Call Center Representative I Western GrowersCCSB Call Center Representative IIrvine, CARemote$38,625.60–$48,750 / yearAt Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full-suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management. This position provides consultative telephonic and web-based assistance to Agents, Certified Enrollment Counselors, Qualified Health Plans (QHP), federal and state agencies and other stakeholders in Health Benefit Exchange administration.
Call Center Representative I (California Only) Western GrowersCall Center Representative I (California Only)Irvine, CARemote$38,625.60–$50,874.31 / yearAt Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full-suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management. The Call Center Representative I will play a crucial role in assisting clients over the phone and electronically, making a real difference in their experience with the Health Benefits Exchange (HBEX).