Astrana Health Careers

Description

Job Title: ACM Coordinator I
Department: Health Services - ACM

*Must currently reside or have resided in Hawaii

We are currently seeking a highly motivated Case Management Coordinator. This role will report to an ACM Supervisor and enable us to continue to scale in the healthcare industry.

What You'll Do: 

• Responsible for member/provider outreach and notification (telephonic and/or written) utilizing department templates
• Responsible for assisting ACM nurses with member assessment and communication, which includes but is not limited to eligibility verification, requesting medical records, creating case, and documenting care activity
• Participate in all health plan and department meetings and trainings as applicable
• Assist with health plan audit preparation
• Meet standard benchmarks with performance objectives
• Provide ongoing support and mentorship to other team members as needed.
• Answer inbound phone queue calls timely to assist members and/or providers.
• Assist in delegated projects and assignments
• Perform other duties, projects and actions as assigned

Minimum Qualifications: 
 

• High school diploma OR GED
• Experience using Microsoft applications such as Word, Excel, and Outlook
• Experience working in healthcare setting preferred

You're great for this role if: 

• Previous experience with Case Management
• Experience working in a MSO/IPA/Health Plan
• Able to speak and understand Tagalog or Ilocano (Preferred)

Who We Are: 

Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient. 

Our platform currently empowers over 10,000 physicians to provide care for ~1 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system. 

Our Values: 

•        Put Patients First  
•        Empower Entrepreneurial Provider and Care Teams  
•        Operate with Integrity & Excellence  
•        Be Innovative  
•        Work As One Team 

Environmental Job Requirements and Working Conditions:

• This position is remotely based in the U.S. The home office is located in Monterey Park, CA.
• Employees must be able to work standard business hours in Hawaii Standard Time (HST)

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation. 

Additional Information: 

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.