Senior Coordinator, Care Access

This is a fully remote position, open to applicants in United States.

📋 Description

• Engage in proactive outreach and follow-up after hospitalizations to link members with behavioral health services.

• Organize appointments and facilitate access to benefits and community resources.

• Foster trusted relationships with members to evaluate their needs and identify suitable providers and resources.

• Tackle barriers to care and escalate risk concerns to clinical teams when necessary.

• Collaborate with clinicians, Provider Success, and internal teams regarding follow-up for high-risk members, provider access, program enrollment, and continuity of care.

• Inform members, providers, and facilities about available services and care-management protocols.

• Address access challenges and bridge care gaps.

• Ensure accurate and timely documentation while managing sensitive member information in accordance with HIPAA and organizational standards.

• Efficiently navigate multiple systems, communicate effectively, achieve performance targets, and contribute to a collaborative, member-focused team environment.

⛳️ Requirements

• A Bachelor's degree in Social Work, Psychology, or a related healthcare field; OR a high school diploma with 4+ years of experience in a healthcare, managed care, behavioral health, or customer service environment.

• A minimum of 2 years of experience in a healthcare, managed care, behavioral health, or customer service setting for candidates following the bachelor's-degree pathway.

• Strong computer skills, including the ability to work across multiple systems simultaneously and accurately input or retrieve data.

• Capability to simultaneously talk and type while navigating systems during real-time member interactions.

• Familiarity with behavioral health or medical terminology.

• Excellent problem-solving, critical-thinking, and organizational abilities.

• Proficient in prioritizing, planning, and multitasking while managing competing priorities.

• Ability to pass background checks upon hiring and throughout employment, which includes criminal, employment, education, healthcare sanctions, prohibited parties, and a 10-panel drug screening.

• Proven ability to quickly establish trust and motivate members.

• Skillful in managing difficult conversations and sensitive subjects.

• Proficient in de-escalation techniques, reflective listening, and responding effectively to member needs.

• Ability to problem-solve and provide timely solutions.

• High-speed internet service with a minimum download speed of 20 Mbps, upload speed of 5 Mbps, and maximum latency of 100 milliseconds, required prior to starting.

• A quiet workspace with minimal background noise for calls.

🏝️ Benefits

• Annual performance-based discretionary incentive.

• Comprehensive medical, dental, and vision coverage.

• 401(k) plan with a competitive employer match.

• Company-paid life and disability insurance.

• Paid parental leave and wellness incentives.

• Generous paid time off, including volunteer time.

• Flexible spending accounts for healthcare and dependent care.

• Opportunities for professional development and tuition reimbursement.

• Remote work flexibility (dependent on the role).

• Company-provided equipment.

• Potential for meaningful personal and professional growth.