Role Description
The Senior Care Access Coordinator plays a critical role in ensuring members receive timely, appropriate behavioral health care by combining proactive outreach, collaborative coordination, and operational excellence to drive engagement, continuity of care, and improved health outcomes.
Member Care Coordination & Engagement
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Conduct proactive outreach (including post-hospitalization follow-ups) to connect members with behavioral health services and resources.
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Guide members through benefits, scheduling, and provider selection while identifying risks and escalating when needed.
Cross-Functional Collaboration & Access Facilitation
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Partner with clinicians, provider teams, and internal stakeholders to coordinate care, support high-risk members, and ensure timely provider access.
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Educate members, providers, and facilities on services and processes while resolving barriers and closing care gaps.
Documentation, Compliance & Operational Excellence
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Maintain accurate, timely documentation of member interactions while ensuring HIPAA compliance and data integrity.
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Navigate multiple systems efficiently, balance priorities, and meet performance goals while delivering compassionate, high-quality service.
Qualifications
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Bachelorβs degree in Social Work, Psychology, or other related healthcare field.
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2+ years of experience in a healthcare, managed care, behavioral health and/or customer service setting; OR
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High school diploma PLUS 4+ years of experience in a health care, managed care, behavioral health and/or customer service setting.
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Strong computer proficiency, including the ability to work within multiple systems simultaneously and accurately enter or retrieve data.
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Working knowledge of behavioral health or medical terminology.
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Ability to pass background check upon hire and throughout employment.
Requirements
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Demonstrated ability to establish trust quickly and motivate members through an engaging motivational approach.
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Ability to manage difficult conversations and sensitive topics around a variety of member needs and presenting concerns.
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Skilled in de-escalation, reflective listening, and responding appropriately to member needs.
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Convey confidence and understanding of member needs and care resources.
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Ability to problem solve and arrive at solutions timely and with consideration of the end user in mind.
Benefits
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Hourly compensation between $22.00 - $23.30, PLUS an annual performance-based, discretionary incentive.
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Comprehensive health benefit options: Medical, dental, and vision coverage.
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401(k) with competitive employer match.
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Company-paid life and disability insurance.
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Paid parental leave and wellbeing incentives.
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Generous paid time off, including volunteer time.
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Flexible spending accounts for healthcare and dependent care.
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Professional development opportunities and tuition reimbursement.
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Remote work flexibility (role-dependent).
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Opportunity for meaningful growth, both personally and professionally.