Care Coordinator

Oscar-Health-; Miami (FL); Remote; USD 37,000 - 49,000; Full time

Benefits offered by this job

Remote work

Health benefits

15 days vacation per year

Job summary

Oscar Health is hiring a Care Coordinator to serve as the central entry point for the Care Management team. You will manage care coordination for members across CCM, RAP, and other programs, handling post-discharge transport and inquiries with a focus on one-call resolution.

This remote role is open to candidates in Arizona, Florida, Georgia, and Texas. Base pay ranges from $17.91 to $23.51 per hour, with benefits and 15 days of vacation per year.

Qualifications

• 1+ years of experience with care coordination and navigation in a healthcare setting.
• Proficient with EMRs (e.g., Medecision) and telephony (e.g., InContact).
• Excellent interpersonal communication and listening skills.

Responsibilities

• Be the primary entry point for members and providers in Care Management.
• Handle inbound calls and route with one-call resolution.
• Coordinate care across CCM, RAP, TOC and various settings while maintaining confidentiality.
• Arrange non-emergent transportation via UberHealth following program rules.
• Escalate to Claims, Eligibility, and Care Navigation as needed.
• Lead special projects and collaborate cross-departmentally for member experience.
• Take on additional tasks as assigned.

Skills

Care coordination

Communication

EMR systems

Telephony systems

Education

Medical Assistant Certification

Tools

Medecision

InContact

Job description

Hi, we're Oscar. We're hiring a Care Coordinator to join our team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

Care Coordinators serve as the central entry point and operational backbone for the Care Management department. They provide comprehensive care coordination for members, including those in Complex Care Management (CCM), Readmission Prevention (RAP), and those who do not fit into existing highly specialized programming. By taking ownership of administrative tasks, managing post-discharge transportation needs, and resolving inbound inquiries with a focus on one-call resolution, the Care Coordination Team allows our RN Care Managers to operate at the top of their license and helps members reach their optimum health goals in the most cost effective way.

Work Location:

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia and Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.

Pay Transparency:

The base pay for this role is: $17.91 - $23.51 per year. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

• Be the primary bridge and entry point for all members and providers working with the Care Management team.
• Field inbound phone calls from members and providers, using optimized IVR pathways to ensure accurate routing and striving for one-call resolution.
• Manage care coordination for members across various programs, including CCM, TOC, and unassigned populations, across a variety of settings (hospitals, outpatient clinics, home care, supply vendors, dialysis) while maintaining strict confidentiality and the highest level of professionalism.
• Manage non-emergent medical transportation (NEMT) via UberHealth for members, strictly following program guardrails to decrease readmissions and improve health outcomes.
• Handle internal escalations to specialized departments such as Claims, Eligibility, and Care Navigation.
• Lead special projects as subject matter experts.
• Collaborate cross-departmentally to create a positive member experience.
• Perform all other tasks or additional responsibilities.

Requirements:

• 1+ years of experience with care coordination and navigation in a healthcare setting.
• Proficient computer literacy skills, with a strong aptitude for using EMRs (like Medecision) and telephony systems (like InContact) for seamless workflows.
• Excellent interpersonal communication skills including exceptional listening skills.
• Certified as a Medical Assistant
• Familiar with Health Insurance

This is an authentic Oscar Health job opportunity.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:

Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI):

Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation:

Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([e-mail]) to make the need for an accommodation known.

California Residents:

For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy .

Oscar Health is authorized to do business in many, but not all, states. If you are not located in or willing to relocate to a state where Oscar is registered, you will not be eligible for employment. The approved states for this role are listed in the job posting.

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Oscar Health's Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A \"disabled veteran\" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A \"recently separated veteran\" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An \"active duty wartime or campaign badge veteran\" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An \"Armed forces service medal veteran\" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.