Medicaid Care Navigator - Oregon Member Support

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 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.