Clinical Care Representative - Spanish speaker

Socket.dev; New York (NY); On-site; USD 75,000 - 110,000; Full time

Job summary

Neko is redefining preventive care. We are seeking a Clinical Care Coordinator in New York to guide members through referrals and follow-ups, ensuring safe, efficient navigation between clinical teams and external providers.

This role demands empathy, clear communication, and meticulous coordination across complex care journeys. You will own cases end-to-end, coordinate insurance checks and prior authorizations, and document activities with care.

Qualifications

• 2–4+ years of experience in patient navigation, referral coordination, care management, or healthcare operations.
• Native or fully fluent in both English and Spanish, with excellent written and verbal communication skills in both languages.
• Strong understanding of US healthcare systems, including insurance eligibility and prior authorisation workflows.
• Experience with EHRs or care coordination platforms (e.g. Epic, Athena, Elation, Salesforce Health Cloud, or similar).
• Demonstrated ability to manage sensitive member situations with empathy, professionalism, and sound judgement.
• Strong organisational skills and meticulous attention to detail across complex workflows.
• Excellent written and verbal communication skills with clinical and non-clinical stakeholders.
• Comfortable working in fast-paced, evolving environments with changing priorities.

Responsibilities

• Own individual member cases end-to-end, coordinating referrals and follow-ups with clinical teams and external providers.
• Coordinate insurance eligibility checks, prior authorisation requests, and specialist referrals within defined timelines.
• Maintain case documentation and ensure referral loops are closed with high quality,”
• Escalate complex or sensitive member situations with sound judgment to ensure safe, empathetic outcomes.

Skills

Bilingual English/Spanish

Organizational skills

Communication

Empathy

Attention to detail

Healthcare navigation

Tools

Epic

Athena

Elation

Salesforce Health Cloud

Job description

Mission

Neko is redefining what prevention means, from treating illness when it arrives, to sustaining health before it's ever at risk. Our mission: make data-driven, preventative care accessible to more people, before symptoms appear. In a single, non-invasive visit under an hour, proprietary technology and direct clinical care combine to deliver personalised, actionable insights. It's a team that thinks in 10x, not 10%. Every role here plays a part in building a world where prevention is the norm, and where your work genuinely helps people live longer, healthier lives.

Role purpose

Support Neko members through the care journey that follows their scan — ensuring referrals, follow-up actions, and clinical navigation are handled safely, efficiently, and with consistent empathy and clarity. As a Clinical Care Coordinator, you will own individual member cases end-to-end, working closely with the Clinical Care Lead, clinical teams, and external providers to ensure every referral is completed, every loop is closed, and no member falls through the gaps. This role is for someone who combines strong organisational skills with genuine care for people — someone who can hold complexity calmly and communicate with warmth and precision across clinical and non‑clinical stakeholders.

What you'll deliver in the first 6-12 Months

• Members with referrals or follow-up needs receive timely, accurate, and empathetic coordination — with measurable improvements in referral completion rates and SLA adherence.

• Insurance eligibility checks, prior authorisation requests, and specialist referral coordination are completed accurately and within defined timelines, reducing friction for members and clinical teams.

• Case documentation, communication quality, and referral loop closure consistently meet Neko's quality standards — with cases handed off or escalated cleanly when required.

• Complex or sensitive member situations are handled with sound judgement and escalated appropriately, ensuring safe and empathetic outcomes at every stage.

Requirements

• 2–4+ years' experience in patient navigation, referral coordination, care management, or healthcare operations
• Native or fully fluent in both English and Spanish, with excellent written and verbal communication skills in both languages
• Strong understanding of US healthcare systems, including insurance eligibility, prior authorisation workflows, and specialist referral coordination
• Experience working with EHRs or care coordination platforms (e.g. Epic, Athena, Elation, Salesforce Health Cloud, or similar)
• Demonstrated ability to manage sensitive member situations with empathy, professionalism, and sound judgement
• Strong organisational skills and meticulous attention to detail across complex, multi‑step workflows
• Excellent written and verbal communication skills — able to translate clinical information clearly for members and coordinate effectively with clinical and operational stakeholders
• Comfortable working in fast‑paced, evolving environments with changing priorities

Preferred

• Experience supporting multispecialty referral coordination or preventative healthcare models
• Background in dermatology, cardiology, primary care, or similar referral‑heavy specialties
• Familiarity with QA processes, documentation standards, or SOP frameworks
• Exposure to healthcare technology, digital health, or health‑tech environments
• Experience working within or alongside a clinical team in a high‑volume care coordination setting