Associate Claims Clinical Specialist
About The Position
CareScout is on a mission to simplify and dignify the aging experience by creating a new experience for care seekers and their families. This involves bringing together long-term care options, non-healthcare resources, education, and human support into one place. The Associate Claims Clinical Specialist will play a leading role in developing an innovative digital product strategy based on deep expertise and knowledge of the long-term care needs of the aging population. This role will be part of a team delivering concierge services, including caregiver support and education, and conducting consultations with older adults and caregivers on aging services and supports. A successful candidate will be excited by the possibility of scaling their life’s work to millions of people. Responsibilities extend beyond traditional care advocacy to working with digital product teams to infuse patient-centered knowledge into the design process and provide feedback for digital user experiences at scale.
Requirements
- Active Licensed Social Worker or Registered Nurse.
- Minimum of 5 years total relevant work experience from any combination of the following: Social worker or RN with 5 years of Geriatric Case management experience.
- Ability to demonstrate knowledge in the following areas: Area Agency on Aging offerings/resources, Home and Community based programming and eligibility criteria, Medicaid and Medicare, knowledge of discharge planning process and considerations, local resources for elder law and estate planning.
- Ability to provide education and advocacy for aging population and caregivers on community resources, home health options, Long Term Care planning and facilities.
- A proven track record of applying qualitative and quantitative analysis to problem solving.
- Proven ability to deliver on responsibilities.
- Comfortable interacting with senior management, team members, different disciplines, other stakeholders.
- Strong written, spoken and listening communication skills.
- Highly collaborative, results driven, team player.
Nice To Haves
- Experience or understanding of Long-Term Care Insurance products.
- GCM or CCM certification.
- Long term care experience.
- Ability to operate in an entrepreneurial environment.
- Experience working within startups and contributing to their rapid growth.
Responsibilities
- Provide Subject Matter expertise on local and state level programming and resources for aging adults and their caregivers.
- Provide education and resources to aging individuals seeking assistance with care options and navigating challenges.
- Conduct intensive case management and crisis intervention.
- Act as a key member of the product and design team by representing the voice of the customer.
- Approach problem-solving with a human-centered lens.
- Regularly document key and frequent needs of users and report qualitative data (such as quotes and anecdotal stories that are representative of user needs) and quantitative data (such as frequency of user needs and trends in gaps in local care environments and resources) to the digital product and design teams.
- Bring deep understanding of landscape and individual aging and long-term resources, facilities, organizations, agencies, and referral sources to help marketing team reach key partnerships and potential consumers who would benefit from our digital products.
- Report back to product and design teams opportunities for improvement of the digital products based off of user feedback.
- Review new product features before they are released to consumers to identify improvements or potential issues to proactively improve user experience.
Benefits
- Competitive Compensation & Total Rewards Incentives
- Multiple 401(k) Savings Plan Options
- Auto Enrollment in Employer-Directed Retirement Account Feature (100% employer-funded!)
- Generous Paid Time Off – Including 12 Paid Holidays, Volunteer Time Off and Paid Family Leave
- Disability, Life, and Long Term Care Insurance
- Tuition Reimbursement, Student Loan Repayment and Training & Certification Support
- Wellness support including gym membership reimbursement and Employee Assistance Program resources (work/life support, financial & legal management)
- Caregiver and Mental Health Support Services
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
