URGENT: CalAIM Medical Coordinator

Responsibilities

• Manage authorization intake, accurately log data in Homecare HQ, monitor volumes, and address MCO inquiries
• Conduct daily outreach to educate prospects and clients on CalAIM (California Advancing and Innovating Medi-Cal) benefits, program rules, and service expectations
• Track outreach timeframes, coordinate onboarding paperwork, and manage referral-to-care workflows within strict deadlines
• Coordinate with internal care teams to schedule assessments, confirm start of care dates, and transition clients to active care
• Maintain CalAIM MCO compliance standards, report expiring authorizations, and support audit readiness
• Collaborate with the compliance team to optimize workflows, update reports, and support operational goals

Qualifications

• Experience in home care, healthcare administration, care coordination, or client intake preferred
• Knowledge of CalAIM (California Advancing and Innovating Medi-Cal) programs, Medi-Cal managed care, or healthcare authorization processes preferred
• Background in Revenue Operations, medical billing, or insurance documentation preferred
• Strong computer proficiency with the ability to quickly adapt to multiple software systems and manage high-volume data entry

For fast application process, please send your CV/Resume to [Confidential Information]