Care Specialist (Virginia)

Q Point Health LLC; Yorktown (VA); Remote; USD 40,000 - 60,000; Full time

Job summary

Equality Health is seeking a Care Specialist to deliver supportive care within a remote, non-exempt full-time role. You will work with a multidisciplinary Clinical Operations team to identify barriers to self-care and navigation of the healthcare system, primarily in your assigned market.

You will conduct health assessments, assist with scheduling, and coordinate with providers and community resources to improve patient outcomes while maintaining confidentiality and professionalism.

Qualifications

• Associate degree in healthcare or related field.
• Minimum two years in a healthcare-related role.
• Proficiency with Microsoft Office and web-based technologies.
• Basic Excel skills (pivot tables, formulas).
• Flexible schedule within assigned market hours.
• Bilingual preferred.

Responsibilities

• Conduct outbound calls to members, perform health assessments, identify care needs and eligibility for programs.
• Support patients with barriers to care, including scheduling and locating community resources.
• Collaborate with patients, providers, referral coordinators, and staff; document activities.
• Communicate availability of care coordination services to patients and caregivers.
• Screen for physical and behavioral health needs and refer to appropriate professionals.
• Provide data to providers, patients, and families to support care decisions.

Skills

Bilingual

Problem solving

Independent work

Customer service

Education

Associate’s degree in Healthcare

Tools

Microsoft Office

Excel

Job description

Position Title: Care Specialist Reports To: Supervisor, Clinical Outreach

Classification: Non-Exempt (Full-time)

Places of Work: Remote (Preferred location: This is a remote, non-exempt position.

Care Coordinators are assigned to a primary market and are expected to work within that market’s hours of operation (typically 8:00 AM – 6:00 PM local time).

While each Care Specialist is assigned a primary market, work priorities may shift based on business needs, and team members may support additional markets when required.

The Care Specialist is primarily responsible for providing supportive care and assistance to a diverse patient population to identify barriers to self-care and healing, decision making, and communication in navigating the healthcare system. This individual works closely with, Community Health Workers, Chaplains, and other members of the Clinical Operations team, and consistently demonstrates a high standard of ethical behavior, professionalism, sensitivity, and confidentiality.

Responsibilities

• Conduct outbound phone calls to members to conduct health assessments, identify care needs, and determine appropriateness for participation in care coordination programs
• Assist and support patients with barriers to care including, but not limited to, scheduling appointments, and locating and accessing community resources
• Work collaboratively with patients, network providers, referral coordinators, office and hospital staff; document all activities
• Communicate care coordination services available to patients and caregivers
• Screen for physical health and behavioral health needs to refer to appropriate healthcare professionals for effective and timely intervention
• Perform a variety of activities to provide meaningful data to providers, patients and their families

Qualifications

• Associate’s degree in Healthcare or a related field of study; Minimum two (2) years of experience in a directly related position in the healthcare industry
• Proficiency with Microsoft Office applications and web-based technologies
• Comfortable learning proprietary platforms
• Basic Excel proficiency (pivot tables, formulas, project-based spreadsheets)
• Flexible schedule within assigned market hours
• Previous experience, knowledge and understanding of coordinating care for members
• Familiarity with federal and state laws and requirements related to healthcare and health information protection
• Basic Life Support (BLS), Certified Medical Assistant (CMA), Certified Nursing Assistant (CNA), Emergency Medical Technician (EMT)
• Excellent problem-solving skills, including the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
• able to manage multiple activities and work independently with minimal supervision
• Bilingual (strongly preferred)
• Experience in customer service environments (call center acceptable if adaptable)

Equality Health is an integrated, holistic, and tech-enabled healthcare delivery system focused on improving the health and wellness of diverse populations. Founded in 2015, Equality Health aims to improve access to value-based care for people who have long struggled with navigating the traditional one-size-fits-all U.S. healthcare system. The mission of the company is to provide high-quality care that improves and enhances lives regardless of race, ethnicity, age, or income.

Through its supplemental care management services and proprietary technology platform, CareEmpower™, Equality Health helps managed care plans and health systems improve outcomes and lower costs for diverse populations while simultaneously facilitating the transition to risk-based accountability. Equality Health supports over 800,000 members and more than 4,000 practice sites and continues to scale rapidly.

In 2021, Equality Health partnered with General Atlantic, a leading global growth equity firm, to help drive continued expansion and fuel the next phase of growth as a leading value-based primary care network serving the Medicaid, Medicare and ACA Exchange populations. This strategic investment will enable Equality Health to pursue further geographic expansion, technological innovation and product development while furthering its mission of increasing access to care, lowering costs and improving outcomes for underserved individuals, families and communities.

Equality Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.