Care Coordinator (Must reside in Oregon)

Sun Life Financial; Bend (OR); On-site; USD 41,000 - 55,000; Full time

Benefits offered by this job

Vacation and sick time

401(k) match

Life insurance

Disability programs

Stock purchase plan

Sabbatical program

Parental leave

Job summary

Sun Life U.S. is seeking a Care Coordinator in Oregon to lead telephone outreach, support dental care utilization, and ensure compliance. The role requires coordinating with CCOs and hospitals, counseling members on ED usage, and documenting care in case management systems.

You will work from Oregon, with opportunities to assist in pilots and special projects while contributing to healthier communities and member satisfaction.

Qualifications

• High school diploma or equivalent required.
• 6+ months of Medicaid population experience by phone or in person.
• Proficient in Windows applications and basic computer tasks.
• Must reside in Oregon and be able to travel as needed.
• Preferred: Community Health Worker certification.

Responsibilities

• Outreach and counseling members on emergency department use related to dental care.
• Address missed dental appointments and coordinate future care.
• Reassign and coordinate care with dental providers and community settings.
• Document all case management activities accurately in systems.
• Support health improvement by considering diverse community needs.

Skills

Phone outreach

Medicaid experience

Computer proficiency

Effective communication

Travel ability

Education

High school diploma

Tools

Windows applications

Job description

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.At Sun Life, we're driven by our Purpose: helping our Clients achieve lifetime financial security and live healthier lives. Our values shape how we work: caring, authentic, bold, inspiring, and impactful.When you join Sun Life, you'll work with passionate colleagues and empowering leaders who support your growth and celebrate your contributions, so you can make a meaningful difference in our Clients' lives.Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.Job Description:The opportunity:The Care Coordinator is responsible for telephone outreach to designated member populations to ensure retention, utilization of services, and satisfaction as well as meeting compliance regulations with reporting on these topics. Must reside in Oregon.How you will contribute:Assist with care coordination of members with special health care needs as designated by Coordinated Care Organizations (CCOs), the Oregon Health Authority (OHA), members, members’ caregiver or their representative. This includes, but is not limited to:Contacting and counseling members in regards to emergency department usage for dental related reasons as reported through company’s secure connect to the Emergency Department Information Exchange (EDIE) or directly from hospitals and CCOsContacting and counseling members in regards to missing dental appointments as reported by primary care dental offices (PCDs)Assisting in the reassignment of dismissed of members from their current PCD and coordinating success care in the future for the member; escalating to a Care Coordinator, Advanced when necessaryCoordinating care for members needing additional services in a dental practice after being seen in a community settingCommunity Partner Requests for assistance through Health Risk ScreeningProcessing medical to dental referrals to careProcessing of Pilot projects referrals to careEnsure all documentation is entered accurately and timely into all case management systems for continuity of care purposesAssist in improving the region’s health by considering each community member’s unique health, cultural and social needsOther duties as needed or requiredWhat you will bring with you:Required:High school diploma or equivalent6+ months of experience working with Medicaid populations by phone or in person, or equivalentComputer proficiency in a variety of Windows applicationsAttends additional training as requested/deemed necessaryPreferred:Certification as a Community Health Worker or other Traditional Health Worker designation2+ years of experience working in a call center environment.Experience in a dental/medical insurance setting.PHYSICAL DEMANDS:Incumbent must be able to communicate effectively.Requires overall light physical effort (up to 25lbs.)Manual dexterity and sitting is required in carrying out position own position responsibilities (i.e. use of personal compute).Ability to travel or move about within and outside serviced facilities required.Incumbent works primarily in either a private or shared office environment.Salary Range: $40,600 - $54,800At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you!We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds.Life is brighter when you work at Sun LifeAt Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We’re proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we’ve also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities.We will make reasonable accommodation s to the known physical or mental limitation s of otherwise-qualified individuals with disabilities or special disabled veterans , unless the accommodation would impose an undue hardship on the operation of our business. Please email [e-mail] to request an accommodation.For applicants residing in California, please read our employee California Privacy Policy and Notice.We do not require or administer lie detector tests as a condition of employment or continued employment.Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.Job Category:Service clientèle / OpérationsPosting End Date:21/09/2026