Care Coordination Specialist

We truly value our employees and are committed to their success! We offer long-term employment opportunities with job stability, as well as support and encouragement for career growth and advancement. Our comprehensive benefits package includes Health, Dental, and Vision insurance, Paid Time Off, 9 Paid Holidays, a 403(b) Retirement Plan with company matching, and company-paid Life Insurance. Join our team and experience a workplace culture that fosters teamwork, growth, and support!

Los Angeles Jewish Health has been a trusted provider of senior healthcare for over 100 years, offering a wide range of services that prioritize excellence and Jewish values. We serve more than 4,000 seniors across our San Fernando Valley campuses, delivering personalized care tailored to each individual’s needs, from independent living to specialized healthcare programs.

The responsibilities of the Care Coordination Specialist include, but are not limited to: 

Responsibilities:

• Coordinate and manage patient care across multiple healthcare providers, health plans and managed healthcare organizations, ensuring timely follow-ups and continuity of care.
• Assist residents in navigating a comprehensive healthcare delivery system under LAJH.
• Verify insurance eligibility, obtain prior authorizations, and facilitate referrals to specialists or external healthcare services.
• Review patient records, track progress, and ensure adherence to treatment plans.
• Communicate effectively with patients, families, healthcare teams, and insurance providers to ensure efficient care delivery.
• Assist in discharge planning and transitions of care, ensuring patients receive necessary post-care services.
• Maintain accurate and up-to-date documentation in electronic health records (EHR) and/or other software systems.
• Identify gaps in care and collaborate with multi-disciplinary teams to improve patient outcomes.
• Track patient progress, maintain accurate documentation, and ensure compliance with healthcare regulations.

Experience and Skills:

• Clinical background (LVN) and experience in healthcare coordination, case management, or patient navigation.
• 2+ years of experience in care coordination, case management, patient advocacy, or healthcare administration is preferred.
• Strong understanding of medical terminology, CPT codes, ICD-10 codes, and prior authorization processes.
• Excellent communication, problem-solving, and organizational skills.
• Proficiency in electronic health records (EHR).
• Prior experience in insurance verification, prior authorizations, and utilization review is highly desirable.
• Experience in rehabilitation, managed care, or skilled nursing settings is a strong advantage.
• Familiarity with managed care plans and programs including Medicare Advantage, managed care Medi-Cal, Dual Eligible Special Needs Plans (D-SNPs) and HMO/PPO plans.
• In-depth knowledge of HIPAA regulations and patient privacy laws.
• Understanding of post-acute care services, rehabilitation processes, and discharge planning.
• Passion for patient advocacy, improving healthcare access, and financial steward of utilization and resources. 

Education & Certifications:

• Licensed Vocational Nurse (LVN).
• Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ) is a plus.
• Additional certifications in care coordination, medical billing, or patient navigation are beneficial.
• Bilingual proficiency (e.g., Spanish) is a plus, especially in diverse patient populations.

Join Los Angeles Jewish Health and make a meaningful impact in the lives of seniors in our community. Become part of our compassionate team, dedicated to providing exceptional care and support. Apply today and start making a difference!