Care Navigation and Benefits Specialist

Job not on LinkedIn

🔥 14 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👩‍👩‍👧‍👦 Human Resources (HR)

👻 Ghost score 11%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

86Borders

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤖 Artificial Intelligence

💰 $392k Venture Round on 2017-10

Healthcare • Healthcare Insurance • Artificial Intelligence

86Borders is a healthcare company focused on improving health plans' Star Ratings and quality metrics through enhanced member engagement. They specifically work with vulnerable members including those on Medicare Advantage and Medicaid, employing empathetic care coordination along with technology and AI-driven interventions. Their services address various quality metrics such as MLR, HEDIS/HOS, and CAHPS, ensuring members are informed and able to utilize their available benefits effectively.

📋 Description

• Develop veteran-specific care coordination workflows and processes • Establish guidelines for complex cases and escalations • Identify appropriate scopes for non-clinical care coordinators, nurses, and social workers • Identify program gaps and development opportunities • Serve as a subject matter expert on VA healthcare, benefits, and Veteran-specific services • Help Care Coordinators navigate VA, community, and Veteran-specific resources • Provide benefits education and connect Veterans with appropriate benefits resources • Provide guidance on complex Veteran cases • Assist with determining appropriate referrals, resources, and escalations • Provide direct Veteran support when needed • Partner with the Director of Training and Development and Director of Care Coordination to develop Veteran-specific training • Educate Care Coordinators on VA healthcare, Veteran resources, benefits navigation, and common barriers • Serve as an ongoing social work/VA subject matter expert for the Care Coordinator team • Report to the Director of Care Coordination • Work without supervisory responsibilities

🎯 Requirements

• 5+ years of experience as a clinical social worker, care coordinator, care navigator, or similar field • Demonstrated progressive program management experience • 1+ years of experience working remotely • Experience working directly with Veterans and/or within the VA system • Knowledge of VA healthcare, Veteran benefits/resources, behavioral health, and social determinants of health (SDOH) • Experience working with medically and/or behaviorally complex populations • Dedicated home office for remote work • Strong interpersonal, verbal and written communication, collaborative, and problem-solving skills • Experience working with members over the phone and by text message • Experience documenting case notes in a care management or electronic health record platform • Experience with motivational interviewing • Apple computer experience preferred • Bilingual fluency in Spanish preferred

🏖️ Benefits

• Remote work from a dedicated home office • Full-time Monday–Friday schedule • No travel required