Care Coordinator

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CrewBloom

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2016

🤝 B2B

☁️ SaaS

🎯 Recruiter

B2B • SaaS • Recruitment

CrewBloom is a remote staffing agency dedicated to connecting businesses with top-tier remote talent across various industries. They streamline the hiring process by sourcing, screening, and onboarding qualified candidates tailored to the specific needs of their clients, ensuring a seamless integration into teams. With a focus on global talent acquisition, CrewBloom empowers companies to scale their operations efficiently while reducing costs and maintaining compliance with HR regulations.

📋 Description

• Serve as a clinical resource for members seeking guidance on screenings or other preventive measures to optimize overall health for members and their families. • Provide clinical support to the Support team, handling live member calls, emails, and chats for members seeking clinical assistance during their use of the program. • Lead the internal review of client plan documents, preparing benefit coverage summaries for the Provider Relations and Support team to answer members’ questions. • Provide notice of coverage documentation outlining specific protocols for certain specialties (e.g., physical therapy, chiropractic visits, oncology, bariatric procedures). • Serve as a clinical point of contact for providers with clinical coverage questions regarding treatment options, second opinion options, and alternative treatment plans. • Follow up with pending items, ensuring members are updated promptly and responsively. • Adhere to documentation standards to ensure all provider support and member support questions are properly logged and documented for client reviews, analytical reviews, and legal purposes. • Initiate and oversee the creation of infographics and other marketing materials for key healthcare awareness months (e.g., Breast Cancer Awareness, Colon Cancer Awareness, Diabetes Education, Menopause). • Proactively provide ideas on how to market or serve our member base more effectively. • Become proficient in the client’s program knowledge to provide the highest level of support and service to members. • Work on special projects deemed key by management or at the suggestion of staff, collaborating with management on project priorities as needed. • Perform other miscellaneous office duties as needed.

🎯 Requirements

• Proven experience as a Care Coordinator, Case Manager, or similar role in a healthcare setting. • Strong clinical background with knowledge of preventive healthcare measures and treatment options. • Excellent communication skills, both written and verbal. • Proficiency in handling member and provider inquiries via phone, email, and chat. • Strong organizational skills and attention to detail. • Ability to work independently in a remote setting. • Proficiency with healthcare documentation standards and legal requirements. • **Preferred Qualifications** • Bachelor’s degree in Nursing, Health Administration, or a related field. • Experience with healthcare plan documentation and benefit coverage. • Familiarity with creating educational and marketing materials for healthcare awareness. • HIPAA Certification or training • USRN Certificate • Active NCLEX license

🏖️ Benefits

• Join Our Dynamic Team: Experience our fun, inclusive, innovative culture that values your unique contributions and supports your professional growth. • Embrace the Opportunities: Seize daily chances to learn, innovate, and excel. Make a real impact in your field. • Limitless Career Growth: Unlock a world of possibilities and resources to propel your career forward. • Fast-Paced Thrills: Thrive in a high-energy, engaging atmosphere. Embrace challenges and reap stimulating rewards. • Flexibility, Your Way: Embrace the freedom to work from home or any location of your choice. Create your ideal work environment. • Work-Life Balance at Its Best: Say goodbye to stressful commutes and hello to quality time with loved ones. Achieve a healthy work-life integration to perform at your best.