Remote Care Navigator for Member Wellness

Socket.dev; Atlanta (GA); On-site; USD 51,577,000 - 68,770,000; Full time

Benefits offered by this job

Medical

Dental

Vision

11 paid holidays

Paid sick time

Paid parental leave

401(k) plan participation

Life and disability insurance

Paid wellness time and reimbursements

Job summary

Oscar is hiring a Care Coordinator to join our team. This role serves as the central entry point for the Care Management department, providing comprehensive care coordination for members across CCM, RAP, and other programs while supporting RN Care Managers.

The position is remote for candidates in AZ, FL, GA, or TX with occasional travel for meetings. You will handle post-discharge transportation, inbound inquiries, and special projects, helping members achieve healthier outcomes at lower costs.

Qualifications

• 1+ years of experience with care coordination and navigation in a healthcare setting.
• Proficient with EMRs (like Medecision) and telephony systems (like InContact) for seamless workflows.
• Excellent interpersonal communication and active listening skills.

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 CCM, TOC, and unassigned populations across hospitals, clinics, home care, and vendors.
• Manage non-emergent medical transportation (NEMT) via UberHealth, following program guardrails to reduce readmissions.
• Handle internal escalations to 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.

Skills

Care Coordination

EMR systems

Telephony

Interpersonal skills

Tools

Medecision

InContact

Job description

Oscar is hiring a Care Coordinator to join our team. This role serves as the central entry point for the Care Management department, providing comprehensive care coordination for members across CCM, RAP, and other programs while supporting RN Care Managers.

The position is remote for candidates in AZ, FL, GA, or TX with occasional travel for meetings. You will handle post-discharge transportation, inbound inquiries, and special projects, helping members achieve healthier outcomes at lower costs.