Senior Coordinator, Care Access

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

📋 Description

• Engage in proactive outreach to members and conduct follow-ups after hospitalization.

• Facilitate connections for members seeking behavioral health services and coordinate their appointments.

• Assist members in accessing their benefits and community resources.

• Develop trustworthy relationships with members while assessing their needs.

• Identify suitable providers and resources, addressing any barriers to care.

• Raise risk concerns to clinical teams when necessary.

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

• Educate members, providers, and facilities regarding available services and care management processes.

• Solve access challenges and bridge care gaps.

• Maintain precise and timely documentation while safeguarding sensitive member information in accordance with HIPAA and organizational standards.

• Efficiently navigate multiple systems, communicate effectively, achieve performance goals, and contribute to a collaborative, member-centered 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 healthcare, managed care, behavioral health, and/or customer service.

• At least 2 years of experience in healthcare, managed care, behavioral health, and/or customer service for the bachelor's degree pathway.

• Proficient in computer skills, with the ability to work across multiple systems simultaneously and accurately enter or retrieve data.

• Capability to talk and type concurrently while navigating systems during live interactions with members.

• Familiarity with behavioral health or medical terminology.

• Strong skills in problem-solving, critical thinking, and organization.

• Ability to prioritize, plan, and multitask effectively while managing competing priorities.

• Must pass background checks upon hire and throughout employment, including criminal, identity, education, employment, sanctions, watchlist, and drug-screen checks.

• Proven ability to quickly establish trust and motivate members.

• Skillful in handling difficult conversations and sensitive subjects.

• Proficient in de-escalation techniques and reflective listening.

• Ability to identify problems and provide timely solutions.

• High-speed internet connection with a minimum of 20 Mbps download, 5 Mbps upload, and a maximum latency of 100 ms, to be installed before starting.

• A quiet workspace with minimal background noise.

• Capability to work from home utilizing frequent computer and phone systems.

• Ability to remain seated for extended periods and perform repetitive typing tasks.

🏝️ Benefits

• Annual performance-based discretionary incentive.

• Coverage for medical, dental, and vision.

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

• Company-funded life and disability insurance.

• Paid parental leave and wellness incentives.

• Generous paid time off, including time for volunteering.

• Flexible spending accounts for healthcare and dependent care.

• Opportunities for professional development and tuition reimbursement.

• Flexibility to work remotely (depending on the role).

• Equipment provided by the company.

• Opportunities for significant personal and professional growth.